OBJECTIVE 1.1 Continue ART without interruption and increase enrolment.
ACTIVITY
Enrol new patients into
AMPATH care
INDICATOR
Number of new adult
patients enrolled
Number of new pediatric
patients (HIV exposed &
HIV infected) enrolled
Total number of new
enrolees
Median CD4 count of new
adult enrolees
TARGETS
ACTUAL QUARTERLY RESULT
Q1
Q2
Q3
Q4
3532
Quarterly: 3000
Annually: 12,000
Quarterly: 300
Annually: 1200
Quarterly: 3300
Annually: 13,200
Quarterly: 150
Annually: 175
1049
These is from facility
based KEPMS reports
4581
227
220
NARRATIVE SUMMARY:
Activities:
Successes:
Challenges & Lessons Learned:
OBJECTIVE 1.1 Continue ART without interruption and increase enrolment.
1
ACTIVITY
INDICATOR
TARGETS
ACTUAL QUARTERLY RESULT
Q1
Provide antiretroviral
treatment (ART)
Number of clinics
providing ART
Number of adults newly
initiating ART
Number of children newly
initiating ART
Number of adults actively
receiving ART
Number of children
actively receiving ART
Quarterly: 18
Annually: 18
Quarterly: 1500
Annually: 6000
Quarterly: 225
Annually: 900
Quarterly: 30,000
Annually: 36,000
Quarterly: 3000
Annually: 3900
Q2
Q3
Q4
18
2822
487
These is from facility
based KEPMS reports
26287
3016
NARRATIVE SUMMARY:
Activities:
Successes:
Challenges & Lessons Learned:
OBJECTIVE 1.1 Continue ART without interruption and increase enrolment.
ACTIVITY
INDICATOR
TARGETS
ACTUAL QUARTERLY RESULT
2
Improve adherence to
cART
Percent of patients screened
Percent of non-adherent
patients counselled*
Number nurses devoted to
adherence support per
clinic
% of patients with selfreported perfect adherence
at all visits
*This indicator must come from the adherence database
Per Quarter: 99%
Annually 99%
Per quarter: 99%
Annually: 99%
Per quarter: 1 FTE
each clinic
Annually: 1 FTE each
clinic
Per quarter: 80%
Annually: 80%
94%
96%
NA
Not
available
3
97%
97%
NARRATIVE SUMMARY:
Activities:
Successes:
Challenges & Lessons Learned:
OBJECTIVE 1.1 Continue ART without interruption and increase enrolment.
3
ACTIVITY
Monitor clinical status of
patient population
INDICATOR
Percent of adult patients
receiving CD4 at least annually
Percent of HIV-infected
children receiving CD4 test at
least annually
Percent of new patients with
CD4 ≤ 100 starting cART
Percent of new patients with
CD4 ≤ 200 starting cART
Percent with 250<CD4<350 &
WHO Stage III/IV starting
cART
Percent of patients on ART
receiving at least one renal,
liver, and hemogram tests for
ARV toxicity
Percent of new adult patients in
WHO Stage IV receiving cART
Percent of new pediatric
patients in WHO Stage IV
receiving cART
Percent of patients receiving
cART who are on 2nd line
therapy
Percent of patients with
antiretroviral treatment failure
TARGETS
Quarterly: 99%
Annually: 99%
Quarterly: 99%
Annually: 99%
ACTUAL QUARTERLY RESULT
Q1
Q2
Q3
Q4
75%
71%
79%
74%
Quarterly: 99%
Annually: 95%
Quarterly: 90%
Annually: 90%
Quarterly: 95%
Annually: 95%
93%
93%
81%
92%
82%
80%
Quarterly: 99%
Annually: 99%
92%
91%
Quarterly: 99%
Annually: 99%
Quarterly: 99%
Annually: 99%
43%
43%
13%
22%
6.2%
Quarterly: 5%
Annually: 5%
Quarterly: 95%
Annually: 95%
No
results
No
results
4
receiving viral load test within 3
months
Number of days with ART stock
outs, by clinic
Percent of patients with any
interruption in their cART**
Percent of HIV-exposed
children receiving Septrin or
Dapsone
Percent of children receiving
CD4 testing within 3 months of
first visit with known HIVpositive status
Quarterly: 0
Annual: 0
Quarterly: 15%
Annual: 15%
Quarterly: 95%
Annually: 95%
Quarterly: 95%
Annually: 95%
0
0
4.5%
4.1%
54%
61%
52%
42%
**Treatment interruption is here defined as any change in formulation, change in regimen, stoppage of cART, and drug substitutions.
NARRATIVE SUMMARY:
Activities:
Successes:
Challenges & Lessons Learned:
5
OBJECTIVE 1.1 Continue ART without interruption and increase enrolment.
ACTIVITY
Reduce burden of malaria
disease on patients
INDICATOR
Number of persons receiving
treatment for malaria
TARGETS
Quarterly: 100
Annually: 400
ACTUAL QUARTERLY RESULT
Q1
Q2
Q3
Q4
2055
1906
NARRATIVE SUMMARY:
Activities:
Successes
Challenges & Lessons Learned:
6
OBJECTIVE 1.1 Continue ART without interruption and increase enrolment.
ACTIVITY
Expand High Risk Express
Care to all clinics
INDICATOR
Number of clinics with an
HREC system
Number of patients enrolled in
HREC
Proportion of eligible patients
referred to HREC
TARGETS
Quarterly: 3
Annually: 12
Quarterly: 600
Annually: 2400
Quarterly: 75%
Annually: 75%
ACTUAL QUARTERLY RESULT
Q1
Q2
Q3
Q4
18
107
313
13%
22%
NARRATIVE SUMMARY:
Activities:
Successes:
Challenges & Lessons Learned:
OBJECTIVE 1.1 Continue ART without interruption and increase enrolment.
ACTIVITY
Provide palliative care services
INDICATOR
Number of persons trained to
TARGETS
ACTUAL QUARTERLY RESULT
Quarterly: 15
7
deliver palliative care including
and excluding TB
Percent of AMPATH patients
assessed for palliative care needs
Percent of those needing palliative
care who receive it
Number of clinics providing
palliative care services including
and excluding TB
Annually: 60
Quarterly: 100%
Annually: 100%
Quarterly: 100%
Annually: 100%
Quarterly: 18
Annually: 18
100%
100%
100%
100%
18
18
NARRATIVE SUMMARY:
Activities:
Successes:
Challenges & Lessons Learned:
OBJECTIVE 1.3: Improve and expand control of TB in the community and in HIV-TB co-infected patients.
ACTIVITY
INDICATOR
Number AMPATH patients
screened for TB
Percent of newly enrolled
patients diagnosed with active
TB
Number of AMPATH patients
initiating treatment for TB
TARGETS
Quarterly: 3000
Annually: 12,000
Quarterly: 10%
Annually: 10%
Quarterly: 300
Annually: 1200
ACTUAL QUARTERLY RESULT
3532
2.9%
4.1%
337
455
8
Percent of patients completing
TB treatment!*
Number of eligible patients
initiated on IPT**
Quarterly: 85%
Annually: 85%
Quarterly: 250
Annually: 1000
46%
47%
380
!* Include patients whose reason for stopping treatment was “Completed Treatment”
**Query needs clinician input to refine.
OBJECTIVE 1.5: Strengthen clinic-based prevention programs.
ACTIVITY
Provide PITC at all district and
sub-district hospitals and rural
health centers served by
AMPATH
INDICATOR
TARGETS
Number of service outlets
providing PITC
Quarterly: 18
Annually: 18
Percent of those HIV-positive
enrolled in AMPATH**
Quarterly: 75%
Annually: 75%
ACTUAL QUARTERLY RESULT
Q1
Q2
Q3
Q4
18
43.7%
**Not possible currently.
NARRATIVE SUMMARY:
Activities:
Successes:
Challenges & Lessons Learned:
9
OBJECTIVE 1.6: Strengthen and expand community-based ART
ACTIVITY
Use nurse providers to provide
and monitor cART for stable
patients in Low Risk Express
Care program (LREC)
Conduct satellite clinics
INDICATOR
TARGETS
Number of clinics providing
LREC
Quarterly: 6
Annually: 15
Number of patients enrolled in
LREC
Percent of eligible patients
referred to LREC
Quarterly: 1000
Annually: 4000
Quarterly: 75%
Annually: 75%
Number of clinics with satellites
attached
Number of satellite clinics
operating
Quarterly: 6
Annually: 10
Quarterly: 8
Annually: 8
ACTUAL QUARTERLY RESULT
Q1
Q2
Q3
Q4
9
990
817
32%
27%
11
18
NARRATIVE SUMMARY:
Activities:
Successes:
Challenges & Lessons Learned:
10
OBJECTIVE 1.7: Enhance care coordination between AMPATH care sites.
ACTIVITY
Decentralize data entry
INDICATOR
Number of clinics where data
entry is decentralized
TARGETS
Quarterly: 1
Annually: 4
ACTUAL QUARTERLY RESULT
Q1
Q2
Q3
Q4
1
3
NARRATIVE SUMMARY:
Activities:
Successes:
Challenges & Lessons Learned:
OBJECTIVE. 2.5: Expand prevention and care programs for patients at risk for STIs or who have STIs.
ACTIVITY
INDICATOR
Provide syndromic management Number of service providers
of STI’s at all sites
trained to screen for and treat
STI’s and cervical cancer
Number of adult patients
treated (syndromically) for
STI’s
TARGETS
Quarterly: 2
Annually: 8
Quarterly:
Annually:
ACTUAL QUARTERLY RESULT
Q1
Q2
Q3
Q4
For next
quarter
For next
quarter
11
Screen all new patients for
syphilis
Number of patients screened for Quarterly: 900
syphilis
Annually: 3600
2724
3404
NARRATIVE SUMMARY:
Activities:
Successes:
Challenges & Lessons Learned:
OBJECTIVE. 2.6: Expand prevention and care programs for patients with disabilities
ACTIVITY
Screen for disabilities
INDICATOR
Number of new patients
screened for disabilities
Percent of new patients
identified as having a disability
TARGETS
Quarterly: 3000
Annually: 12,000
Quarterly: <5%
Annually: <5%
ACTUAL QUARTERLY RESULT
Q1
Q2
Q3
Q4
3532
3%
1%
NARRATIVE SUMMARY:
Activities:
Successes:
Challenges & Lessons Learned:
12
OBJECTIVE. ??: Food - Nutrition
ACTIVITY
Provide food supplementation
to AMPATH patients in poor
health
INDICATOR
Number of individuals receiving
ART with evidence of severe
malnutrition receiving food and
nutritional supplementation
during the reporting period
TARGETS
Quarterly: 200
Annually: 800
ACTUAL QUARTERLY RESULT
Q1
Q2
Q3
Q4
56
NARRATIVE SUMMARY:
Activities:
Successes:
Challenges & Lessons Learned:
13