CSwMR

Table 3.22 Guidelines, trained staff, and items for antiretroviral therapy services
Among all facilities, the percentages offering antiretroviral therapy (ART) services and, among facilities offering ART services, the
percentages with indicated items to support the provision of quality ART services by background characteristics. Senegal SCSPA 2012–2013
Background
characteristics
Percentage
of
facilities
offering
ART
services 1
Number of
facilities
Percentage of
facilities offering
ART services that
have the following
ART
guidelines
Trained
staff 2
Percentage of facilities offering ART
services that have the following laboratory
diagnostic capacity
Complete
blood
count 3
CD4 cell
count
RNA viral
load
Renal or
liver
function
test
First-line
adult ART
regimen
available 4
Number of
facilities
offering
ART
services
Facility type
Hospital 41 17 89 62 100 57 20 100 100 7
Health center 63 30 78 53 56 18 21 59 88 19
Health post 2 317 34 34 0 0 0 0 75 7
Managing authority
Public 10 302 70 50 53 24 16 55 88 31
Private 3 62 77 57 43 0 12 43 77 2
Region
Dakar 8 71 74 67 100 34 16 100 92 6
Diourbel 8 25 100 80 100 60 40 100 100 2
Fatick 6 22 67 100 33 33 33 33 67 1
Kaffrine 10 14 100 0 58 17 17 17 100 1
Kaolack 6 23 100 100 29 0 35 100 100 1
Kédougou 27 9 61 19 26 32 10 42 81 2
Kolda 21 17 25 12 12 12 12 12 100 4
Louga 9 23 100 100 24 49 0 75 75 2
Matam 7 17 60 60 20 20 0 20 100 1
Saint Louis 7 29 79 79 58 37 0 79 100 2
Sédhiou 16 12 53 47 30 0 18 30 100 2
Tambacounda 8 24 75 0 100 0 50 38 100 2
Thiès 12 48 68 40 52 0 8 35 60 6
Ziguinchor 3 29 100 50 0 50 0 50 100 1
Total 9 364 71 51 53 22 16 54 87 33
Health hut NA 74 NA NA NA NA NA NA NA NA
NA = Not applicable
Note: The indicators presented in this table correspond to the staff and training, diagnostics and medicines, and commodities domains
for assessing readiness to provide ART services within the health facility assessment methodology proposed by WHO and USAID
(2012).
1
Providers in the facility prescribe ART for HIV/AIDS patients or provide treatment follow-up services for persons on ART, including
providing community-based services.
2
Facility had at least one interviewed provider of ART services who reported receiving in-service training in some aspects of ART during
the 24 months preceding the survey. The training must have involved structured sessions; it does not include individual instruction that a
provider might have received during routine supervision.
3
Facility had a functioning hematology analyzer or functioning hematological counter with the necessary reagents available in the facility.
4
Facility had the three country-specific first-line antiretroviral medicines for adult treatment available in the facility.
Prevention of Mother-to-Child Transmission
The SCSPA can be used to evaluate three indicators for prevention of mother-to-child
transmission (PMTCT) of HIV:
• availability of services for PMTCT at facilities providing antenatal clinics
• percentage of facilities providing ANC that offer services to prevent mother-tochild
transmission (PMTCT) of HIV
• percentage of facilities offering PMTCT with specific elements of the PMTCT
program
Table 3.23 shows the availability of services for PMTCT.
Virtually all facilities that offer ANC services (health center, health post, hospital and
health hut), whether public or private, offer at least one of the following PMTCT services:
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