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Project HEART: Expanding Access, Extending Lives. Presented by Denis Tindyebwa, MD; EGPAF Regional Director Pediatric Care and Treatment . Project HEART: Program update. Expanded access Geographical coverage Increased enrollment Program outcomes Increasing focus on children

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project heart expanding access extending lives

Project HEART: Expanding Access, Extending Lives

Presented by Denis Tindyebwa, MD;

EGPAF Regional Director Pediatric Care and Treatment

project heart program update
Project HEART: Program update
  • Expanded access
    • Geographical coverage
    • Increased enrollment
  • Program outcomes
  • Increasing focus on children
  • PMTCT Linkages
  • Hope for the future
slide3

Elizabeth Glaser Pediatric AIDS Foundation

Mission:

The Elizabeth Glaser Pediatric AIDS Foundation seeks to prevent pediatric HIV infection and to eradicate pediatric AIDS through research, advocacy, and prevention and treatment programs.

slide4

Côted’Ivoire

Tanzania

Mozambique

Zambia

South Africa

Project HEART Countries

  • Project HEART supports activities in five countries
    • Côte d’Ivoire
    • Mozambique
    • South Africa
    • Tanzania
    • Zambia
slide6
Project HEART: Number of care and treatment sites reporting by quarter since the beginning of the program, by country

Doubling expansion

every year

project heart number of persons ever on care and art by quarter over time
Project HEART: Number of Persons Ever on Care and ART by quarter, over time

Doubling ART Initiation every year

slide9

Project HEARTCumulative Patient Enrollment

CUMULATIVE data from March 1, 2004 through March 30, 2009

  • Number of patients living with HIV, ever enrolled in long-term clinical care and support programs.
  • Of those enrolled, number of patients started on ARV therapy.
project heart patients currently in program
Project HEART Patients currently in Program

All patients CURRENTLY on care and treatment on March 30, 2009

  • Number of HIV-positive patients who received care anytime January 1- March 30, 2009.
  • Number of patients on ART on March 30th 2009.
slide15

Percentage of patients on ART who are on first line regimens:

End of Q1 2009, by age group

slide17
Percentage of Patients in 6-month Cohort with CD4 Counts at Baseline and at the end of the Follow-Up Period, Q1 2009
percent distribution of children currently on art end of march 2009 by age group
Percent distribution of children currently on ART end of March 2009, by age group*

*not all sites in Mozambique and South Africa reported pediatric age breakdown information

infant young child iyc strategy
Infant & Young Child (IYC) Strategy
  • Target setting – site specific absolute numbers
  • Implementation approaches
  • Indicators for COC – PMTCT/C&T linkages and integration
  • Emphasis on PMTCT
  • More focused monitoring & feedback
number of egpaf pmtct sites project heart countries 2004 2009
Number of EGPAF PMTCT Sites, Project HEART countries (2004-2009)
  • PMTCT is funded by CDC in CI, SA and Zambia. USAID funds PMTCT in TZ. In Mozambique, PMTCT funding is transitioning from USAID to CDC.
  • The above data is for all five PH countries to give a more thorough picture of services in PH countries
pmtct cascade a for five project heart countries eligible counseling testing results
PMTCT Cascade A for Five Project HEART Countries (Eligible, counseling, testing, results)
  • PMTCT is funded by CDC in CI, SA and Zambia. USAID funds PMTCT in TZ. In Mozambique, PMTCT funding is transitioning from USAID to CDC.
  • The above data is for all five PH countries to give a more thorough picture of services in PH countries
slide29

PMTCT Cascade B for Five Project HEART Countries (HIV+, Women ARV, Infant ARV)

  • PMTCT is funded by CDC in CI, SA and Zambia. USAID funds PMTCT in TZ. In Mozambique, PMTCT funding is transitioning from USAID to CDC.
  • The above data is for all five PH countries to give a more thorough picture of services in PH countries
hope for the future
Hope for the Future
  • Greater focus by donors on health system strengthening
  • Intensive work toward transition in each Project HEART country including local capacity building
  • Increasing funding for increasing access to PMTCT and Improving the PMTCT cascade
  • Increasing the identification, enrollment and retention of children in care and treatment
  • Improving the quality of care in each supported site
slide31
CÔTE D’IVOIRE

Anna Likos and CDC/CI

MOH CI

Joseph Essombo, Anthony Tanoh, Diby Brou Charles, Joseph Kouakou and the EGPAF/CI team

EGPAF U.S.

Georgette Adjorlolo-Johnson

Nicole Buono

Elizabeth Flanagan

Nick Hellmann

Trish Karlin

Stephen Lee

Richard Marlink

Rose McCullough

Sara Pacque-Margolis

Mposo Ntumbanzondo

Shobana Ramachandran

Penny Smith

Allison Spensley

Tara Suntoke

Andrea Wahl

Cathy Wilfert

Sue Willard

MOZAMBIQUE

Lisa Nelson and CDC/Moz

MOH Moz

Nancy Fitch, Cathrien Alons, Esmeralda Karajeanes, Alex Boon, Etelvina Mbalane and the EGPAF/Moz team

SOUTH AFRICA

Thurma Goldman, Celicia Serenata, and CDC/SA

DOH SA

Kuku Appiah, Marriam Mangochi, Pumla Lupondwana and the EGPAF/SA team

TANZANIA

John Vertifeuille and CDC/TZ

MOH TZ

Anja Giphart, Werner Schimana, Jeroen van Padt Bosch, Aisa Muya and the EGPAF/TZ team

ZAMBIA

Larry Marum and CDC/Zam

MOH Zambia

Susan Strasser and the EGPAF/Zambia team

Jeff Stringer, Elizabeth Stringer, Carolyn Bolton, Stewart Reid and the entire CIDRZ team

Acknowledgements

  • PARTNERS
  • Baylor
  • Mark Kline
  • Meg Ferris
  • John Snow International
  • Andrew Fullem
  • Lisa Hirschhorn
  • University of CA, San Francisco
  • Diane Havlir
  • Royce Lin
  • Oliver Bacon
  • CDC
  • Tedd Ellerbrock
  • Louise Perry
  • Diane Flournoy
  • Bud Bowen
  • Janna Brooks
  • CDC Staff in Côte d’Ivoire
  • Mozambique, South Africa
  • Tanzania, Zambia
  • ……..AND ALL OF OUR PATIENTS, PARTNERS, STAFF AND DONORS