HIV service delivery models towards ‘Zero AIDS-related Deaths’: a collaborative case study of 6 Asia and Pacific countries

Fujita, Masami; Poudel, Krishna C; Green, Kimberly; Wi, Teodora; Abeyewickreme, Iyanthi; Ghidinelli, Massimo; Kato, Masaya; Vun, Mean Chhi; Sopheap, Seng; San, Khin Ohnmar; Bollen, Phavady; Rai, Krishna Kumar; Dahal, Atul; Bhandari, Durga; Boas, Peniel; Yaipupu, Jessica; Sirinirund, Petchsri; Saonuam, Pairoj; Duong, Bui Duc; Nhan, Do Thi; Thu, Nguyen Thi Minh; Jimba, Masamine

doi:10.1186/s12913-015-0804-5

Table 3 Chronic care management

From: HIV service delivery models towards ‘Zero AIDS-related Deaths’: a collaborative case study of 6 Asia and Pacific countries

	Cambodia	Myanmar	Nepal	PNG	Thailand	Vietnam
Service availability
Total no. of ART sites	51	90	36	61	1014	217
Provinces with ART	21/24 provinces	13/14 provinces	13/14 zones	20/20 provinces	76/76 provinces	63/63 provinces
Districts with ART	44/77 districts	59/325 townships	30/75 districts	61/89 districts	878/878 districts	167/697 districts
Districts having ART (%)	57	18	40	69	100	24
Districts with VCT having ART (%)	57	28	40	69	100	95
District with CHBC /District with ART	44/44 (848/997 health center)	15 or more/59	13/30	2/61	400 or more/878	(185 teams)/167
Linking approach
Testing and counseling (post-test counseling) to pre-ART care linkage	PLHIV referred to pre-ART care, but often in distant location. CHBC team offering referral support	PLHIV referred to pre-ART care, but often in distant location	PLHIV referred to pre-ART care, but often in distant location	PLHIV referred to pre-ART care, but often in distant location	PLHIV referred to pre-ART care. VCT and Pre-ART care located in the same facility	PLHIV referred to pre-ART care, but often in distant location
Generating a daily patient appointment list for ART	32 sites electronic, 19 sites paper-based system	Most sites paper-based system	Most sites paper-based system	4 sites electronic, 57 paper-based system	All sites electronic system	Most sites paper-based system
Performance monitoring
Monitoring of pre-ART care through national program reporting	Enrolment: 7,391	Enrolment: 30,615	Enrolment: 15,443	Enrolment 2,541	Enrolment 28,264	Enrolment: 8,729
	Attrition: 2,249 (Lost and died monitored from 4^th quarter of 2010)	Attrition: not available	Attrition: not available	Attrition 414	Attrition 11,185	Attrition: Available only from selected sites
				−Lost 278	−Lost 6,892
				−Died 136	−Died 4,293
Monitoring of appointment keeping for ART	Annual facility survey in 42 sites, Local quality improvement in 16 sites.	Not yet operational	Not yet operational	Not yet operational	Annual facility survey in 38 sites	Annual facility survey in 30 sites
ART retention at 12-month (%)	93	87	N/A	78	83	82

Source: National HIV programs of 6 countries, AIDS Progress Report 2012 of Cambodia [19], Myanmar [20], Nepal [21], PNG [22], Thailand [23], Vietnam [24].
Remark: Province refers to the health administration, one level higher than so called district. District refers to the health administration level with the first referral-hospital (Operational district in Cambodia, Township in Myanmar, District in Nepal, PNG, Thailand, and Vietnam). CHBC: Community- and home-based care.

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ISSN: 1472-6963

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