hiv_aids_and_stis_annual_report_2009_2010.pdf

Summary Program objectives in 2009-2010 During the year 2009-2010, four main objectives guided all the activities of the HIV/AIDS and STIs (HAS) Unit within TRACPlus. These four objectives include: 

• To increase the number of patients on ARVs from 68,520 patients (June 2009) to 74,975 patients by the end of June 2010;
• To counseling and test 1,593,139 people for HIV and give them their test results (100% of customers willcome back to test the results) from July 2009 to June 2010;
• To provide to 8,976 HIV pregnant women ART prophylaxis in PMTCT program from July 2009 to June 2010;
• To increase the number of Health facilities offering VCT, PMTCT and ART from 378 VCT-HF(End June 2009) to 426 VCT-HF end of June 2010,   345 PMTCT-HF (end June 2009) to 426 health facilities offering PMTCT services, and from 217ART-HF (end June 2009) to 305ART-HF June 2010.

 Program achievements in 2009-2010  The achievements of these goals set for July 2009 to June 2010 were very satisfactory. HIV counseling and testing,

• such as end of June 2010, data show that 1,673,839 people have been counseled and among them 1,671,041(99, 8%) were tested in the health facilities and mobile VCT. Among 1,671,041 people tested in health facilities and mobile VCT; 1,659,381 (99,3%know their HIV results. Per month, the average number of people tested in all health facilities is 139,253.
• The number of clients tested from July 2009 to June 2010 represents 33.9% of the expected population in VCT services.
• The number of health facilities offering counseling and testing services increased from 378 to 419.
• PMTCT- 290,910 pregnant women were received in ANC from July 2009 to June 2010. 98.3% of them ( 286,073 pregnant women) accepted to be tested for HIV and received their results, 7,677of the tested women were HIV positive (2.7 % of prevalence in pregnant women attending PMTCT services).Eight thousand four hundred forty five (8445) pregnant women tested HIV positive and HIV negative in discordant couples received ARV prophylaxis/treatment according to the current protocol used in Rwanda. Among them, 1530 who represent 18.1% received triple therapy for their own health, 1596 (18.9%) received triple therapy for MTCT prophylaxis, 3483( 41.2%) received Dual therapy for prophylaxis (AZT from 28 weeks of gestation + Sd NVP during labor then AZT+3TC for 7days after delivery),1836 (21.8%) received Sd NVP then AZT+3TC for 7days.

 iii Considering deliveries, out of 8062 HIV + pregnant women expected to give birth in HF, 6699(83%) gave birth effectively in the HF and 576 gave birth at home but notified at HF. This shows how much the PMTCT services increase the level of use of maternity services in a HF. For the same  period, 8127 children born to HIV positive women were expected to receive ARV prophylaxis, 7806 (96%) have received this prophylaxis.The number of health facilities offering PMTCT services increased from 345 (June 2009) to 382 (June2010) Care and Treatment of people living with HIV/AIDS- the number of patients on ARVs increased from 68,520 patients (end June 2009) to 83,041 patients (June2010). The number of children on ARVs, increased from 5894 children (end June 2009) to 7111children by the end of June 2010. ART health facilities also increased from 217 to 295 throughout the country. The BSS (Behaviour Surveillance Survey among high risk groups) 2009/2010 has been conducted among sex workers, young people from 15 to 24 years old and truck drivers in national level. data entry has been completed and data analysisis in progress.HIVDrug Resistance EWI(Early Warning Indicators) survey was conducted; data abstraction in 27 sentinel sites was completed in November 2009.