Ethiopia - Country Progress Report - unaids

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Report on Progress towards Implementation of the UN Declaration of Commitment on HIV/AIDS 300 272 250 200 192 Total Hospital 150 115 148 Health Center 100 117 50 77 0 3 2005 3 2006 2007 Figure 13: ART Expansion Source: HAPCO: The Multisectoral Plan of Action for Universal Access to HIV Prevention, Treatment, Care and Support in Ethiopia 2007 – 2010 Expansion of ART sites is one of the major achievements recorded in the ART program in recent years. Initially ART was limited to hospitals, but since June 2006 the service has expanded to include health centers. The number of sites providing ART has grown from three in June 2005 to 272 in June 2007 (see Figure 13). The number of health centers providing ART has increased from 77 in June 2006 to 148 in June 2007 and to 150 in December 2007 47 . The government is also ensuring that free ART services are provided in about 13 private hospitals and four NGO clinics. Out of the total available health institutions, 13% (hospitals and health centers) are currently providing ART services, and 65% of these health facilities are in the regional states 48 . In order to ensure universal access, there is a need for rapid decentralization of the ART services to more health centers and private facilities with continuous support from experienced hospitals and other facilities. The number of PLHIV ever enrolled in chronic HIV care (pre-ART) has significantly increased from 13,773 in June 2005 to 203,733 in December 2007. At the beginning of the ART scale up, few children had access to treatment and limited numbers of hospitals were providing the service. Until the end of June 2006, the number of children who have ever accessed ART was only 1,524. However, this figure has grown to 4,327 in June 2007, which is almost three times greater than the pervious year 49 . The NCPI responses suggest that HIV treatment services in the workplace, or treatment referral systems through the workplace, are undertaken in only a few organizations, mostly in private enterprises. 3.2.3.2. TB/HIV services Related UNGASS Indicator Indicator # 6- Co-Management of TB and HIV Treatment Indicator value: Percentage of estimated HIV-positive incident TB cases that received treatment for TB and HIV Numerator: Number of adults with advanced HIV infection who are currently receiving antiretroviral therapy in accordance with the nationally approved treatment protocol (or WHO/UNAIDS standards) and who were started on TB treatment (in accordance with national TB Programme guidelines) within the reporting year Denominator: Estimated number of incident TB cases in people living with HIV Disaggregation Value All cases 13.24% Source All cases 2658 WHO, FMOH All cases 20079 WHO FMOH TB/HIV collaborative work was initiated in Ethiopia in 2004 as a pilot project in six hospitals and three health centers. Based on the lessons learned from these pilot sites, the collaborative work has been expanded to more than 330 health facilities (hospitals and health centers). Since 2006 the percentage of TB patients who received HIV counseling 47 HAPCO, December 2007 48 Federal Ministry of Health: Annual Performance Report of HSDP III for 2006/07, October 2007 49 National HAPCO, Second “Annual HIV/AIDS Monitoring and Evaluation Report – Ethiopia”, 2006/07 34
Report on Progress towards Implementation of the UN Declaration of Commitment on HIV/AIDS and testing has increased from 10% to more than 80% in most of the health facilities. The TB/HIV patients are referred to ART units where they get the appropriate OI treatment, prophylaxis and ART for those eligible. TB screening service is also given for those patients seen at ART clinics and are referred to TB clinic if they are diagnosed with TB. However, to date the referral system is not yet well established between the TB care and HIV care givers, and the M&E system is not strong, so it really is not known what percentages of TB/HIV patients who require services are actually receiving them. Additionally, the gap between what is supposed to be happening in terms of service delivery and what is actually happening (as is the case with PMTCT) may be huge 50 . 50 HIV/AIDS in Ethiopia: An Epidemiological Synthesis 35
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Ethiopia - Country Progress Report - unaids

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