Overview

1. Overview Association Driven Care & Treatment (ADCT) has been proposed as a model for providing affordable and quality HIV/AIDS care in resource limited settings Implementation of the ADCT model in resource poor countries demonstrates it is a feasible and replicable approach AIDS EMPOWERMENT and TREATMENT INTERNATIONAL (AIDSETI) NETWORK:Expanding Access to AIDS Treatment in Africa and the CaribbeanF Ndayishimiye1,2, M J Mbuzenakamwe2, E Ouedraoga3, J Zinsou4, P Niamba5, M Touhon6, M Zemene7,S Mutetwa8 , A Herman9T Sallah10, R Machekano11, A Sall1, R Vaurs1, and DM Israelski 1,11,121AIDSETI Network, Washington DC, USA; 2ANSS Bujumbura, Burundi; 3Association Africaine de Solidarite, Bujumbura, Burundi; 4ALAVI, Ouagadougou, Burkina Faso; 5CICDoc, Ouagadougou, Burkina Faso; 6Ruban Rouge, Abidjan, Cote D’Ivoire; 7Mekdim, Addis Abeba, Ethiopia; 8The centre, Harare, Zimbabwe;9WAMATA, Dar es Salam, Tanzania; 10Espoir Vie, Lome, Togo; 11San Mateo Medical Center, California, USA; 12Stanford University, California, USA PARTICIPANT DATA AVAILABLE PER COUNTRY (TOTAL N = 3039) CARE AND TREATMENT (N = 3039) KENYA = 18 BURKINA FASO = 575 BURUNDI = 348 TOGO = 14 COTE D’IVOIRE = 471 TRINIDAD TOBAGO = 33 TANZANIA = 205 ETHIOPIA = 1239 GUINEA = 39 UGANDA = 25 HAITI = 16 ZIMBABWE = 56 • Core model components • High quality treatment systems • Monitoring & evaluation systems • Web based database systems • Model is implementation ready • fully developed operational & training manuals • Financial & treatment guidelines • Field tested database able to collect cross-country data • Quality Treatment • Education & psychosocial support • VCT and Prevention of MTCT • Monitoring of disease progression • Prophylaxis & Treatment of OI • ARV treatment & adherence support • Screening and Treatment of STIs Expansion Plan The Network’s three year development plan will provide empirical evidence for the ADCT model as a sustainable and scalable strategy in resource-limited settings Three-year program targets Enrollment up to 300,000 patients ARV treatment for 150,000 patients Study purpose To determine the feasibility and replicability of the ADCT model in resource poor settings To describe core components that ensure the ADCT model is sustainable and scalable • Results • 59% female & 41% male • All patients (N=3039) participated in one training or support program • 689 (23%) were actively on ARV treatment • 703 (23%) patients had ever received ARV treatment • 451 (64%) had CD4 < 200 (N=703) • Methods • Data were available from18 of the 22 network associations (N=3039) • Patients were from one of 12 different sub-Saharan African or Caribbean countries • All data were unlinked to patient identifiers • Data collection • As part of routine intake procedures, all patients consented to collection of confidential data in order to receive care and treatment at the association • Data Sources • Patient medical intake form • Cross country patient database system • Monitoring & evaluation systems Conclusions Initial data indicates AIDSETI Network is a feasible and replicable model for expanding access to quality AIDS care and treatment Patients Ever Received Prophylaxis (N=3039) ABSTRACT #665, SESSION ID 53.15 , CATEGORY 6 - Treatment in resource-limited setting. Cross-reference with ABSTRACT #658