Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Cascade of HIV Care, PMTCT and TB/HIV Services in Cambodia
1. ICAAP XI, Bangkok; Thailand
Improving the HIV Cascade of Services:
Advances in Reducing Loss to Follow Up between HIV Testing, Pre-ARV Care and
Sustained Adherence to ARV
WHO FHI360 Satellite, November 21, 2013
Cascade of HIV care, PMTCT and TB/HIV services
in Cambodia
Mean Chhi Vun, MD, MPH
National Centre for HIV/AIDS, Dermatology and STD (NCHADS)
Ministry of Health of Cambodia
3. Cascade of TB/HIV services (2012)
45,000
40,214
40,000
32,557
35,000
No.
30,000
25,000
20,000
15,000
10,000
5,000
1,657
1,267
No. HIV+ TB
cases
No. ART during
TB treatment
0
No. new ly
registered TB
(ixcl.know n
HIV+)
No. HIV test
results recorded
(incl know n
HIV+)
Retention (12
months)
No. receiving VL VL suppressed
4. Cascade of PMTCT service (2011)
1600
1464
1400
1277
1200
1004
No.
1000
846
800
600
400
249
200
0
No. estimated
preg.w omen w ith HIV
No. preg. Women
diagnosed w ith HIV
No. HIV+ preg. Women
receiving ARV
No. infants receiving
ARV for PMTCT
No. infants receiving
EID
5. Coverage of elements of PMTCT
Samreth S et al. Uptake of interventions for preventing mother-to-child HIV transmission in 11 operational districts in
Cambodia. WPSAR Vol 3, No 3, 2012, doi: 10.5365/wpsar.2012.3.2.009.
7. Programme area
HIV testing (case-finding):
1. Uptake of HIV testing among
selected populations
1a. Uptake of HIV testing among
key populations
1b. HIV testing among
tuberculosis patients
1c. HIV screening among
pregnant women
1d. Partner testing among
people living with HIV who are
newly enrolled in care
1e. Partner testing among
antenatal women
1f. Early infant diagnosis
Core indicator
See sub-indicators
Not available
Available
Available
Partial
Partial
Available
10. Programme area
Core indicator
Linkage to ART:
5. Linkage to ART (within 30
days of becoming eligible)
Partial
6. Coverage of ART
Partial
6a. Treatment of TB/HIV coinfections
6b. Treatment of HIVinfected pregnant women
Available
Partial
12. Ways Forward
• Develop National Framework on Cascades of HIV
services (incl. treatment, PMTCT, TB/HIV)
• Use assessment findings to define national and
sub-national indicators based on available data
• Revise national recording/reporting tools and
database to make essential data available to
construct remaining indicators
• Establish data analysis and utilization procedures
at national and sub-national levels
Notas del editor
Based on available data from different sources, we have constructed this graph of HIV treatment cascade.
Estimated number of PLHIV is from mathematical modelling.
The number of diagnosed and reported HIV cases is not available while we have the number of new diagnosis each year.
As you see at the right side, the number of VL testing was very low as we started to introduce VL in late 2012. Therefore, the number of VL suppressed was also very small.