Infectious Diseases Institute College of Health Sciences ... · Individuals with HIV Positive Test Results 2009 to 31st December 2017 20 Active HIV ... (Option B+) 2012 to 31st December

Infectious Diseases Institute

College of Health Sciences

Makerere University

Programmes - Key Performance Indicators

For period ending 31st December 2017

P.O. BOX 22418, Kampala Uganda,

Tel: +256-312 307 000, +256-772 960 482

Email: [email protected]; Website: http://idi.mak.ac.ug

mailto:[email protected]

http://idi.mak.ac.ug/

2

Table of Contents

Indicator Data Range Page

IDI Research Programme

IDI Research Articles Published in Peer Reviewed Journals 2001 to 31st December 2017 6

IDI Research Abstracts Accepted for Presentation

at Conferences 2001 to 31st December 2017 6

Active Research Studies at IDI 2013 to 31st December 2017 6

IDI Training Programme

Total IDI Trainees by Type of Training 2002 to 31st December 2017 7

Total IDI Trainees by Profession 2002 to 31st December 2017 7

Total IDI Trainees by Top 10 Funding Sources 2007 to 31st December 2017 8

Total IDI Trainees by Top 5 Funding Sources July 2017 to 31st December 2017 8

Map of IDI Trainees by Country of Residence 2006 to 31st December 2017 9

Map of IDI Trainees by Region within Uganda 2006 to 31st December 2017 10

Total IDI Trainees by Residence 2002 to 31st December 2017 11

Total IDI Trainees by Nationality 2008 to 31st December 2017 11

Courses by Location of Training 2011 to 31st December 2017 11

Total Advanced Treatment Information Centre (ATIC) Queries 2006 to 31st December 2017 12

Answered

IDI Prevention, Care and Treatment Programme

Total Active Clients by Gender at IDI Clinic, Mulago 2005 to 31st December 2017 13

Active Clients by WHO Stage at IDI Clinic, Mulago 2005 to 31st December 2017 13

Active Clients by ART Status at IDI Clinic, Mulago 2005 to 31st December 2017 13

Active Clients by ART Regimen at IDI Clinic, Mulago 2005 to 31st December 2017 14

Average Daily Client Visits at IDI Clinic, Mulago 2005 to 31st December 2017 14

Average Daily Client Visits by Type at IDI Clinic, Mulago 2005 to 31st December 2017 14

Client Visits by Quarter at IDI Mulago and KCCA Clinics 2005 to 31st December 2017 15

Active Clients by Residence at IDI Clinic, Mulago 2005 to 31st December 2017 15

Sources of ARV Funding for Clients at IDI Clinic, Mulago 2006 to 31st December 2017 15

Active Clients Attending Specialist Clinics As at to 31st December 2017 16

Number of Clients Attending Co-Pay Clinic 2013 to 31st December 2017 16

Referrals To and From IDI, Mulago July 2017 to 31st December 2017 16

GHSA: Trainees by Category of Training October 2015 to 31st December 2017 17

GHSA: Total Number of Trainees by Type of Training October 2015 to 31st December 2017 17

GHSA: Facilities Supported by Type of Support April 2017 to 31st December 2017 17

GHSA: Number of Blood Cultures Conducted Apri 2017 - 31st December 2017 18

GHSA: Micro Biology Samples Transported Through

Expanded Sample Network October 2015 to 31st December 2017 18

GHSA: Facilities Conducting Routine Surveillance for IDSR

Priority Diseases Jan 2017 – 31st December 2017 18

3

IDI Outreach Programme

Active Clients in HIV/AIDS Care Supported Directly or

through Partnerships by IDI 2009 to 31st December 2017 19

Active Clients on HIV Care Supported through Partnership by IDI 2009 to 31st December 2017 19

Individuals Counseled, Tested for HIV and Received Results 2009 to 31st December 2017 19

Individuals with HIV Positive Test Results 2009 to 31st December 2017 20

Active HIV/AIDS Clients by ART Status in KCCA Project 2007 to 31st December 2017 20

Active HIV/AIDS Clients by ART Status in 7 Districts

in Western Uganda 2009 to 31st December 2017 20

Active HIV/AIDS Clients by ART Status in West Nile Region 2016 to 31st December 2017 21

Active HIV/AIDS Clients by ART Status in Kampala Region April 2017 to 31st December 2017 21

Clients Who Received Viral Load Test July 2016 to 31st December 2017 22

Viral Load Suppression Rate July 2016 to 31st December 2017 22

Clients Monitored: CD4 Count Testing 2009 to 31st December 2017 22

Clients Screened for TB July 2016 to 31st December 2017 23

Clients on TB Treatment July 2016 to 31st December 2017 23

Clients Treated for TB/HIV Co-Infection 2009 to 31st December 2017 23

Males circumcised under IDI Safe Male Circumcision Programme April 2011 to 31st December 2017 24

Mothers Tested for HIV July 2016 to 31st December 2017 24

Women Receiving PMTCT (Option B+) 2012 to 31st December 2017 24

Mothers Tested Positive and Mothers Started on ART July 2017 to 31st December 2017 25

Babies Tested and Babies Tested Positive July 2017 to 31st December 2017 25

MCH: Pregnant Mothers Attending 1st and 4th ANC visits January 2012 to 31st December 2017 25

MCH: Deliveries and Live Births in Health Units January 2012 to 31st December 2017 26

MCH: C-Sections Carried Out January 2012 to 31st December 2017 26

MCH: Neonatal and Maternal Deaths that Occurred January 2012 to 31st December 2017 26

IDI Laboratory Programme

Total Testing Volume for Core and Central Labs 2004 to 31st December 2017 27

IDI Web Presence

Website Users Per Month July 2015 to 31st December 2017 28

Website Average Page Download July 2015 to 31st December 2017 28

Average Facebook Likes July 2015 to 31st December 2017 28

Annex

Map of IDI Coverage in Uganda As at 30th June 2017 29

4

List of Acronyms

ACREM Applied Clinical Research and Evidence-based Medicine AFI Acute Febrile Illness ANC Antenatal Care

ART Antiretroviral Therapy

ATIC Advanced Treatment Information Center

BD Becton Dickinson

BHP

C-section

Bunyoro HIV Project

Caesarean Section

CSF Civil Society Fund

DMM Department of Medical Microbiology DOD United States Department of Defense

EID Emerging Infectious Diseases EKKP Expanded Kiboga-Kibaale Project

GHSA Global Health Security Agenda HCIV Health Centre IV

HIV Human Immunodeficiency Syndrome

IDCAP Integrated Infectious Diseases Capacity Building Evaluation

IDI

IDSR

Infectious Diseases Institute

Integrated Disease Surveillance and Response

IHK International Hospital Kampala

IPC Infection Prevention and Control KHP Kampala HIV/AIDS Project KCCA Kampala Capital City Authority

MAPD Malaria Action Plan for Districts MARPS Most at Risk Populations MCH

M&E

Maternal Child Health

Monitoring and Evaluation

MJAP Makerere University Joint AIDS Program

PEPFAR US Presidential Emergency Fund for AIDS Relief

PNFP Private Not For Profit

RRHs Regional Referral Hospitals

SDS Strengthening Decentralisation for Sustainability

SHARE

SMGL

Sharing HIV/AIDS Responsibilities and Efforts

Saving Mothers, Giving Life

SMP Stop Malaria Project

TB

UNHLS

WHO

Tuberculosis

Uganda National Health Laboratory Services

World Health Organization

WHP West Nile HIV/AIDS Project

5

List of General Definitions

Active ART Clients : Visited the clinic at least once in the last 3 months

Active Pre ART Clients : Visited the clinic at least once in the last 6 month

Direct Support: HIV care support provided directly by IDI through the IDI Adult Infectious Diseases Clinic (AIDC), Mulago

Indirect Support: HIV care support provided by IDI through other clinics not directly managed/run by IDI. IDI – Run Specialist Clinics: Adolescents, Sexual Reproductive Health, Senior Citizens, Non Communicable Diseases, Kaposi Sarcoma, TB/HIV, Discordant, MARPs, Hepatitis B and Mental Health

Full Time Staff: Staff providing 100% staff effort to the organization/project Saving Mothers Giving Life (SMGL): This is an IDI implemented outreach project that aims at improving maternal child health (MCH) in specific health facilities in Kibaale district Trainee: A course participant who receives a certificate of completion of, or attendance at, an IDI course. Kampala Capital City Authority facilities supported by IDI: Komamboga, Kisugu, Kawempe Home Care, Kawaala, Kiswa, Kitebi, Kisenyi, Kawaala, Hope Clinic and Kiruddu. Due to renovation of some government facilities, Kawempe HCIV and Kiruddu HCIV were dropped after September 2013. Hope Clinic was also dropped after March 2016. From October 2016, IDI Mulago clinic was also considered one of the KCCA clinics. However, data from the IDI Mulago site is reported separately. Eight Districts in Western Uganda supported by IDI: Kibaale, Kagadi, Kakumiro, Kyankwanzi, Hoima, Buliisa, Masindi and Kiryandongo. Eight Districts in West Nile supported by IDI: Adjumani, Arua, Zombo, Maracha, Nebbi, Yumbe, Koboko, Moyo Civil Society RRH Capacity Building Project supported RRHs: Soroti RRH, Moroto RRH, Gulu RRH, Lira RRH, Fort Portal RRH, Hoima RRH, Masaka RRH, Mubende RRH, China Uganda Friendship Hospital, Kibuli Moslem Hospital and Kasangati HCIV. Implementation of this project ended in September 2015.

Facilities

6

IDI RESEARCH PROGRAMME

Indicator Definition: Number of IDI research articles published in peer reviewed journals disaggregated by contribution of IDI scholars and IDI ex-scholars. Unit of measure: Number. Disaggregated by: IDI scholar/ex-scholar as 1st author, co-author, others

Data Source: Research department. Frequency of data acquisition: Quarterly and annually Additional Notes: 1) An article is counted as a publication by IDI if one or more of the authors cites IDI as their institutional affiliation (or one of their affiliations). Such authors may or may not be employed by IDI. 2) IDI trainees, in this context, are mainly Sewankambo Scholars who were pursuing PhDs, or

post-doctoral studies, or Masters in Medicine. Most Sewankambo Scholars on completion of their scholarships (and usually their PhDs) have remained at IDI as staff members or have continued some other close connection with the Institute through involvement in IDI research projects: these individuals are counted as IDI ex-trainees. 3) Publications by staff in departments other than research at IDI are not counted on this chart.

Indicator Definition: Number of IDI research abstracts accepted for presentation, indicating contribution of IDI scholars and ex-scholars Unit of Measure: Number. Disaggregated by: IDI scholar/ex-scholar as 1st author, co-author, others

Data Source: Research department Frequency of data acquisition: Quarterly and annually Additional Notes: 1) From 2013, number of abstracts presented during conferences were tracked. 2) The drop in the number of abstracts accepted in recent years may be related to the global economic problems, which have resulted in fewer conferences and reduced funding.

Indicator Definition: Number of research studies active at IDI during the year by type.

Unit of Measure: Number Disaggregated by: Capacity building, observational studies, clinical trials Data Source: Grants Register Frequency of data acquisition: Quarterly and annually. Additional Notes: 1) ‘Active’ means projects which are being implemented during the reporting period regardless of their start or end dates. 2) Start date

used is the start date stated in the research project contract, not necessarily the date of signature of the contract. 3) End date used is the end date stated in the research project contract; not necessarily the date by which all activities related to the project end. 4) Definition and source of active research projects starts 2013. Data source used is the SIGMMER generated grants register. 5) Due to evolving systems of data management, there may be a few discrepancies

in the number of projects over the years.

46 48

47 48

12

13 13 13

13 13 13 13 13

63

22 24 30 32 33

7 7 7

63

6 10 16 11 14 15 1216 11

2242 41 41

3230

7

7

18 12 4

6

52

28

45

71 6760

50

2001-2007 2008 2011 2014 2015 2016 2017

Others

IDI scholar / ex-scholar as Co-author

IDI scholar / ex-scholar as 1st author

Number of IDI Research Articles Published in Peer Reviewed Journals Indicating Contribution of IDI Scholars / Ex-scholars

Cumulative Number of Research Articles Published: 552

16 6 11 2 11 196

28

16 8 2318 8

7

19

55 3 6

9

63

22 2430 32 33

22

2001-2007 2008 2011 2014 2015 2016 2017

Others

IDI scholar / ex-scholar as Co-author

IDI scholar / ex-scholar as 1st author

Number of IDI Research Abstracts accepted for presentation at conferences indicating contribution of IDI scholars / ex-scholars

Cumulative number of abstracts accepted for presentation: 306

2010

16 11 12

16

19 12 1724

1015 18 19

2846 44 46 47

64

As at end of 2013 As at end of 2014 As at end of 2015 As at end of 2016 As at end of 2017

Active Research Studies at IDI during the year Capacity Building and Other Studies

Observational Studies

Clinical Trials

7

IDI TRAINING PROGRAMME

Indicator Definition: Total number of IDI trainees disaggregated by the type of training received. Unit of Measure: Number Disaggregated by: Type of training Data Source: Training reports Frequency of data acquisition: Quarterly

Additional Notes: 1) Systems strengthening includes: Grants Management, Monitoring and Evaluation and Data management courses. 2) Research courses include: ACREM, Good Clinical Practice (GCP) and Longitudinal Data analysis courses. 3) Medical student training placements and participants of Continued Medical Education (CME) are not included since they are not awarded IDI certificates. 4) Figures below 100 are left out of the graphic. 5) About 15% of IDI course participants have returned to IDI for further training as an endorsement of the quality and relevance of the training. 6) In 2009, the training department started a policy known as ‘Academic Social Responsibility (ASR)’ where IDI admits (without payment of tuition fees) course participants with resource challenges, especially health workers from ‘hard to reach’ areas in Uganda. 7) Training numbers do not include a significant number of trainees

under the UCSF research programme.

Indicator Definition: Total number of IDI trainees disaggregated by type of profession of trainees. Unit of Measure: Number Disaggregated by: Type of profession Data Source: Training reports Frequency of data acquisition: Quarterly

Additional Notes: Figures below 100 are left out of the graphic

167 158 263 264 457 420

230 150

374 420 225 237 218

120 225

379 186

1,236

549

1,417

743

--

260

362

609

-

169

960

336

130

718 1,309

-

326

128

171

-

141

-

129

-

160

375

741

278

672 297

2002-2004 2005 2008 2011 2014 2015 2016 2017

Total Number of IDI Trainees by ProfessionOther

M&E Officers

Counselors

Records Staff

Lab Staff

Nursing Assistants

Pharmacist / Dispensers

Nurses/ Midwives

Medical Officer/Doctor

Clinical Officers

350 375557 575

2,300

1,121

2,410

1,782 531

993

131

-

510

-

436

636

300

153 816

195

227

109

1,434

603

443

139

-

350 375

1,323

2,696

3,366

1,730

4,162 3,906

2002-2004 2005 2008 2011 2014 2015 2016 2017

Total IDI Trainees by Type of TrainingCumulative Number of Trainees as at December 2017: 26,428

Other

Especially Dangerous Pathogens

Research

Laboratory

Pharmacy

Systems Strengthening

TB

Malaria

HIV

8


Indicator Definition: Total number of IDI trainees disaggregated by the top 10 funding sources over time. Unit of Measure: Numbers/Percentages Disaggregated by: Funders

Data Source: Training reports Frequency of data acquisition: Quarterly Additional Notes: 1) In January 2006, the tuition fees were increased and IDI scholarship fund (with preferential treatment for candidates with insufficient funds) was established according to the IDI strategic plan. 2) The figures for 'trainees' currently include newly qualified medical officers from Mulago Hospital

who attend a one-week taught course at IDI. 3) IDI trainees figures exclude: undergraduate students from the Faculty of Medicine, Makerere University who follow a one week, problem-based curriculum; healthcare workers attending short (two day) Continuing Professional Education events at IDI; IDI currently funds both the above forms of training. 4) Booked trainees who do not attend are usually charged. 5) In the others category is an aggregate of all the training

funding sources which did not make it in the top 10 including; BD, CSF, Presidential malaria initiative (PMI), WA-IDI, WHO-TB Reach, I-TECH among others.

Indicator Definition: Total number of IDI trainees disaggregated by the top 5 funding sources in the quarter. Unit of Measure: Numbers/Percentages Disaggregated by: Funders

Data Source: Training reports Frequency of data acquisition: Quarterly

KCCA 11%

EKKP10%

IDI10%

WNP10%

BHP7%

SMP 7%

EXXON6%

UPHSP4%

INTERACT4%

DOD3%

Others28%

Total IDI Trainees by Top 10 Funding Sources 2007 - December 2017

WNP23%

MAPD18%

BHP14%

AMAKA11%

UPHSP11%

Others23%

Total IDI Trainees by Top 5 Funding Sources (Oct-Dec 2017)

9


Indicator Definition: Cumulative number of IDI trainees disaggregated by country of origin in Africa, type of training and profession of trainees. Unit of Measure: Number Disaggregated by: Country of origin, Type of training and Profession Data Source: Training reports Frequency of data acquisition: Quarterly

10


Indicator Definition: Cumulative number of Ugandan IDI trainees disaggregated by region of origin. Unit of Measure: Number Disaggregated by: Regions

Data Source: Training reports Frequency of data acquisition: Quarterly Additional Notes: Data on the district of work for 3,972 trainees is not available for earlier years, as it was not being captured then.

11


Indicator Definition: Total number of IDI trainees disaggregated by location of residence.

Unit of Measure: Number Disaggregated by: Kampala, outside Kampala, international Data Source: Training reports Frequency of data acquisition: Quarterly and annually

Indicator Definition: Total number of IDI trainees disaggregated by citizenship.

Unit of Measure: Number Disaggregated by: Ugandan, Non-Ugandan Data Source: Training reports Frequency of data acquisition: Quarterly and annually

Indicator Definition: Total Number of courses conducted disaggregated by location of training.

Unit of Measure: Number Disaggregated by: Online, district based, IDI classroom based training Data Source: Training department Frequency of data acquisition: Quarterly and annually Additional Notes: Courses/trainings conducted before 2011 were not categorized by location of training. There were no online trainings for 2016 due to

postponement of trainings to 2017 by the funder.

597 358 817 746 599

1,099 757

886

1,825 2,534

1,057

3,038 3,149

128

79

54

86

74

25 -

2002-2005 2008 2011 2014 2015 2016 2017

Total IDI Trainees by Residence

Non-Ugandans

Upcountry, Uganda

Kampala, Uganda

1,244

2,642

3,296

1,656

4,137 3,906

79

54

70

74

25

2008 2011 2014 2015 2016 2017

Total IDI Trainees by NationalityNon-Ugandan

Ugandan

107

82

4455

6378

88

8

13 47 3718

131

70

2 12

2011 2012 2013 2014 2015 2016 2017

Courses by Location of Training

Online

District Based

IDI Classroom based

12


Indicator Definition: Total number of queries answered by Advanced Treatment Information Centre (ATIC), formerly known as the AIDS Information Centre.

Unit of Measure: Number Disaggregated by: None

Data Source: ATIC database Frequency of data acquisition: Quarterly Additional Notes: 1) Queries include calls from alumni and non-alumni, clinicians, clinical service support staff, laboratory staff and dispensing staff from over 20 countries. 2) Queries on therapeutics, drug interaction, adverse drug reactions and switching therapy. 3) Queries handled by the ATIC come in through

phone, email and in person.

1,224

813 879

707

1,246

1,072

1,285 1,238

1,028 1,048

907

1,284

2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

Total Advanced Treatment Information Centre (ATIC) Queries answered (Phone, email or in person)

13

IDI PREVENTION, CARE AND TREATMENT PROGRAMME

Indicator Definition: Total number of active clients in care (both Pre- ART and ART) at the IDI clinic, Mulago. Unit of Measure: Number Disaggregated by: Gender Data Source: ICEA database Frequency of data acquisition: Quarterly

Indicator Definition: Total number of active clients in care (both Pre- ART and ART) by WHO staging at the IDI clinic, Mulago. Unit of Measure: Number Disaggregated by: Stage I, II, III, IV, Unknown

Data Source: ICEA database Frequency of data acquisition: Quarterly Additional Notes: 1) Data reflects active client WHO stage at the most recent visit. 2) The number of patients with an unknown stage is often less than 5% of the total active clients at the end of each reporting period.

Indicator Definition: Total number of active clients by ART status in the IDI clinic, Mulago. Unit of Measure: Number Disaggregated by: On ART, Not on ART

Data Source: ICEA database Frequency of data acquisition: Quarterly Additional Notes: The data reflects each active client's ART status at their most recent IDI visit.

2,734 2,876 3,280 2,942 2,938 2,715 2,726

5,608 5,978

7,025

4,893 4,926 4,633 4,637

8,342 8,854

10,305

7,835 7,864 7,348 7,363

As at endof 2005

As at endof 2008

As at endof 2011

As at endof 2014

As at endof 2015

As at endof 2016

As at endof 2017

Total Active Clients by Gender at IDI Clinic, MulagoFemale

Male

679 605 1,127 1,010 1,036 928 962

2,500 3,208 3,225

2,118 2,143 1,993 2,033

3,080 3,071

3,382

2,446 2,420 2,153 2,242

1,826 1,941

2,534

2,259 2,259 2,027 2,114

257 29

37

2 6 247 12

As at endof 2005

As at endof 2008

As at endof 2011

As at endof 2014

As at endof 2015

As at endof 2016

As at endof 2017

Active Clients by WHO Stage (current status) at IDI Clinic, MulagoUnknown Stage IV

Stage III Stage II

Stage I

4,654 2,967 3,325

409 321 480 55

3,688 5,887

6,980

7,426 7,543 6,868 7,308

8,342 8,854

10,305

7,835 7,864 7,348 7,363

As at endof 2005

As at endof 2008

As at endof 2011

As at endof 2014

As at endof 2015

As at endof 2016

As at endof 2017

Active Clients by Antiretroviral Therapy Status at IDI Clinic, Mulago Active - On ART

Active - Not on ART

14


Indicator Definition: Total number of active ART clients by regimen in the IDI clinic, Mulago. Unit of Measure: Number Disaggregated by: First line, second line, third Line & complex regimen

Data Source: ICEA database Frequency of data acquisition: Quarterly Additional Notes: 1st line: ART regimen given to a client at ART initiation; 2nd line: ART regimen given to a client non-responsive to 1st line regimen; 3rd line: ART regimen given a client non-responsive to 2nd line regimens; Complex: ART combinations given to a client non responsive to 1st, 2nd and 3rd line regimens.

Clients on 3rd line and complex regimens reduced due to close out of the D4T study during the Oct-Dec 2016 quarter.

Indicator Definition: Average number of new client visits and daily return visits at the IDI clinic, calculated as a proportion of the total number of client visits and the number of days the IDI clinic, Mulago is open.

Unit of Measure: Number Disaggregated by: Type of visit Data Source: ICEA database Frequency of data acquisition: Quarterly Additional Notes: 1). Large drop in Average Daily Client Visits in 2011 is attributed to the decrease in number of clients at IDI Mulago following referral of

“stable” patients to IDI supported KCCA sites. 2). New client visits exclude referrals from other health centers to IDI Mulago.

Indicator Definition: Average daily number of client visits at IDI clinic, calculated as a proportion of the total number of client visits by type and the number of weeks the IDI clinic, Mulago is open. Unit of Measure: Number Disaggregated by: Type of Visit: New, Return and Unknown; Type of Service: New; Return

(doctor, pharmacy, nurse). Data Source: ICEA database Frequency of data acquisition: Quarterly Additional Notes: 1) New visits include comprehensive package (doctor, nurse, counsellor, pharmacy). 2) The introduction of 'nurse only' and 'pharmacy refill' visits contributes to lower health worker workload and shorter waiting times for clients. 3) From 2011 to 2012, the average daily clients at the IDI clinic who

came for pharmacy refill visits reduced by half while a notable increase in those who returned to see a nurse and doctor was observed due to changes in case mix and the clinic’s increasing focus on managing more complex patients.

3,488

5,455 6,103 5,867 6,010

5,403 5,824

200 432 877 1,116 1,251 1,370 1,450

443 282 95 34

As at endof 2005

As at endof 2008

As at endof 2011

As at endof 2014

As at endof 2015

As at endof 2016

As at endof 2017

Active Clients by ART Regimen at IDI Clinic, Mulago First Line

Second Line

Third Line & Complex Regimen

231

508

599

279 260

168 211

27 7 8 3 3 2 3

As at endof 2005

As at endof 2008

As at endof 2011

As at endof 2014

As at endof 2015

As at endof 2016

As at endof 2017

Average Daily Client Visits at IDI Clinic, MulagoReturn visits

New visits

27

178 325 348

205 204 119 141

41

31 43

36 29

1629

156

197

18 10

2420

As at endof 2005

As at endof 2008

As at endof 2011

As at endof 2014

As at endof 2015

As at endof 2016

As at endof 2017

Average Daily Client Visits by Type at IDI Clinic, MulagoPharmacy (refill visit)

Unknown

Nurse (return visit)

Doctor (return visit)

New

15


Indicator Definition: Average number of client visits at the IDI clinic in Mulago. Unit of Measure: Number Disaggregated by: IDI clinic Mulago, KCCA clinics

Data Source: ICEA database & KCCA Project Frequency of data acquisition: Quarterly Additional Notes: 1) From 2006 to September 2010, IDI partnered with KCCA {under the Mulago-Mbarara Teaching Hospitals' Joint AIDS Program (MJAP; funded by PEPFAR)} to build capacity of and strengthen referrals and linkages between IDI and 6 KCCA HIV/AIDS clinics. IDI secured a new grant from CDC to

scale up comprehensive HIV/AIDS services in 10 KCCA clinics (October 2010-September 2015. 2) Increase in the number of active clients in the KCC clinics at the end of 2010 is attributed to the increase in the number of KCCA clinics supported to 10. The 10 clinics within Kampala Capital City Authority exclude the IDI Mulago clinic. Due to renovation of some government facilities, Kawempe HCIV and Kiruddu HCIV were dropped after September 2013. Hope Clinic was also

dropped after March 2016. From October 2016, IDI Mulago clinic was also considered one of the KCCA clinics.However, data from the IDI Mulago site is reported separately. Please note that Implementation of the KCCA project ended in the June 2017.

Indicator Definition: Total number of active clients in care (both Pre- ART and ART) at the IDI clinic, Mulago disaggregated by location of residence. Unit of Measure: Number Disaggregated by: Kampala, Other

Data Source: ICEA database Frequency of data acquisition: Quarterly Additional Notes: Quality of data is dependent on the accuracy of information provided by clients at the time of treatment.

Indicator Definition: Percentage of contribution of funders for ARVs. Unit of Measure: Percentage Disaggregated by: Self pay, PEPFAR, Global Fund, trail sponsored, others

Data Source: ICEA database Frequency of data acquisition: Quarterly Additional Notes: 1) ARVs are procured mainly by GFATMP and PEPFAR and supplied to the Ministry of Health. 2) IDI maintains a contingency budget in case

of interruption of supply. 3) Figures below 1% are not displayed.

5,328 5,458

6,173

4,555 4,552 4,174 4,116

3,014 3,396

4,132

3,280 3,312 3,174 3,247

As at endof 2005

As at endof 2008

As at endof 2011

As at endof 2014

As at endof 2015

As at endof 2016

As at endof 2017

Active Clients by Residence at IDI Clinic, MulagoKampala

Other

19% 13% 7%

87%71%

89%73% 85% 87%

11%28%

3%7% 1% 3% 2% 5%

As at endof 2006

As at endof 2009

As at endof 2012

As at endof 2015

As at endof 2016

As at endof 2017

Sources of Anti Retroviral Drugs Funding for IDI clients

Self pay PEPFAR Global Fund Trial sponsored Others

16498

25,760 30,737

14,937 13,578 11,216 11,190

8,847

33,425 38,223

53,769 54,097 50,943

QuarterlyAverage 2005







Client Visits by Quarter at IDI and Kampala Capital City Authority ClinicsIDI Clinic, Mulago

10 Kampala Capital City Authority (KCCA) Clinics

16


Indicator Definition: Number of active clients attending the IDI specialist clinics as a percentage of the total number of active clients in the reporting period.

Unit of Measure: Percentage Disaggregated by: Specialist clinics Data Source: ICEA database Frequency of data acquisition: Quarterly

Indicator Definition: Number of active clients attending the IDI Co-Pay clinics

Unit of Measure: Number Disaggregated by: Convenience clinic, Women’s clinic, Friendship clinic Data Source: ICEA database Frequency of data acquisition: Quarterly Additional Notes: Co-Pay clinics run 3 times a week, Monday (Convenience Clinic), Tuesday (Women’s Clinic) and Wednesdays (Friendship Clinic). Token fee of

Ugx 50,000 at 1st visit; Ugx 20,000 for the Convenience clinic, Ugx 35,000 for the Women’s clinic, Ugx 35,000 for the Friendship clinic. Effective Jan-Mar 2017, the women’s clinic was merged with the Friendship clinic.

Indicator Definition: Referrals To and From IDI, Mulago as a percentage of total referrals in the reporting period.

Unit of Measure: Number, Percentage Disaggregated by: Referral To, referral From Data Source: ICEA database Frequency of data acquisition: Quarterly Additional Notes: Referrals to IDI Mulago are from: JCRC, KCCA, MUJHU Testing Program, Mulago Outpatient Dept. (VCT)/Mulago Medi, private clinics/private

doctors, relative/friend/spouse, self-referral and others. Referrals From IDI are to: Alive medical center clinics, Baylor Uganda, Burundi, Butabika, ISS MJAP, JCRC, Kasana, Kasangati H/C, KCCA Kawempe, Kisenyi H/C, Kisubi Hospital, Kyantungo Health centre IV, Kyegegwa, Lacor Hospital, Mbarara Hospital, Mubende RRH, Naguru.

593

465

262

14495

29

319

432

Number of Active Clients Attending Specialist Clinic Oct-Dec 2017

Discordant couple

25%

Elderly20%

Young Adults11%

PMTCT6%

Mental Health

4%

TB/HIV1%

MARPS14%

Hepatitis B19%

Split of Active Clients Attending Specialist Clinic Oct-Dec 2017

42 38

9 11

17 17

41

16

27

43

27

42

Jul-Sept 2016 Oct-Dec 2016 Jan-Mar 2017 Apr-Jun 2017 Jul-Sept 2017 Oct-Dec 2017

Referral To and From IDI MulagoFrom IDI Mulago to Other Facilities

From Other Facilities to IDI Mulago

2

247267 272

253

46

162

200 208 209

11 11

57

9

As at end of 2013 As at end of 2014 As at end of 2015 As at end of 2016 As at end of 2017

Number attending IDI Co-Pay clinicsConvenience Clinic

Friendship Clinic

Womens Clinic

17

IDI GLOBAL HEALTH SECURITY

Indicator definition: Total number of trainees under the different categories of activity Unit of Measure: Number Disaggregated by: Category of training

Data Source: GHS Reports Frequency of data Acquisition: Quarterly Additional notes: The selected activities are carried out under four target areas including Biosafety and biosecurity; Prevention of AMR; the National Laboratory system; and Acute Febrile Illness surveillance. However, the number of trainees under Acute Febrile Illness surveillance is not included because the target area

was sub contracted to another partner.

Indicator definition: Total number of trainees under the specific subject areas Unit of Measure: Number Disaggregated by: Type of training

Data Source: GHS Reports Frequency of data Acquisition: Quarterly

Additional Notes: Scope of AMR Surveillance on the GHSA is wider and covers more facilities than the other areas of training.

Indicator definition: Total number of facilities given support Unit of Measure: Number Disaggregated by: Type of support Data Source: GHS Reports Frequency of data acquisition: Quarterly

248221

20

32250

51

27

4

26

28

13

72

24

140

278

64

Oct 2015 - Sep 2016 Oct - Dec 2016 Jan - Mar 2017 Apr-Jun 2017 Jul - Dec 2017

Number of Trainees by category of training

Biosafety and Biosecurity Prevention of AMR National Laboratory System

248221

32

21 51

250

10

16

4

4

14

7224

140

329

64

Oct 2015 - Sep 2016 Oct - Dec 2016 Jan - Mar 2017 Apr-Jun 2017 Jul-Dec 2017

Total Number of Trainees by Type of Training

BS&BS Lab IPC

AMR surveillance AMR stewardship and drug tracking Equipment user training

Culturing Microbiology testing of pathogens

23

4

8

10

6 6 6

HIMS tools Human resourcessupport

Training of facilityPersonnel

Administrativesupport

Supplies Mentorship andSupport

supervision visits

Technical support Development ofSOPs

Total number of facilities supported by type of support(July- December 2017)

18

IDI GLOBAL HEALTH SECURITY PROJECT

Indicator definition: Total number of blood cultures conducted by site Unit of Measure: Number Disaggregated by: National, Regional Referral Hospital-AFI Data Source: GHS Reports Frequency of data acquisition: Quarterly

Additional Notes: Jinja is the an inaugural facility, with high awareness for providing this service compared to the other sites. The facility also hosts a special unit for children who benefit from this service.

ndicator definition: Total Number of Microbiology samples transported through expanded sample network. Unit of Measure: Number Disaggregated by: Site, Type of sample Data Source: GHS Reports Frequency of data acquisition: Quarterly

Additional Notes: The GHSA project procured and supplied bac-tech machines to all sites. AFI samples are only transported in case of breakdown of the machine or need to conduct confirmatory test on samples that have been tested positive, hence reduction in transportation of AFI microbiology samples.

Indicator definition: Total number of facilities conducting routine surveillance for IDSR priority diseases.

Unit of Measure: Number Disaggregated by: Subject area Data Source: GHS Reports Frequency of data acquisition: Quarterly Additional information: AFI is conducted in RRHs of Jinja, Arua, Mubende, Kabale and Apac while Gonococcol surveillance is conducted in IDI Clinic, Most At

Risk Population clinic, Kisenyi HCIV, STI clinc Kiruddu, Naguru teenage Health and Information centre, and Kawaala HCIII sites.

AruaMubende Jinja

KabaleMbale

ApacTororo

126 211

797

132164

121317

156

9 141

5

Number of Blood Cultures Conducted

April-Jun 17 Jul - Dec 17

709

633

840

56

341

600

191

AS at 31st March 2017 April-June 2017 Jul - Dec 2017

Number of Microbiology samples transported through Expanded Sample Network

IPC swabs (From Sept 2016 ) AFI (From Jan 2017) Gonorrorhoea surveillance sites swabs

56

7

4

5

6

As at March 2017 Apr-Jun 2017 Jul - Dec 2017

Number of facillities conducting routine surveillance for IDSR priority diseases

Gonococcol surveillance AFI

19

IDI OUTREACH PROGRAMME

Indicator Definition: Total Number of active clients in HIV care (pre-ART and ART) directly supported or through partnership by IDI. Unit of Measure: Number Disaggregated by: IDI Clinic Mulago, Outreach Programmes Data Source: ICEA, Pre-ART and ART registers Frequency of data acquisition: Quarterly

Indicator Definition: Total Number of active clients in HIV care (pre-ART and ART) supported through partnership by IDI. Unit of Measure: Number Disaggregated by: KCCA, 7 Western districts, West Nile, Kampala region

Data Source: ICEA, Pre-ART and ART registers Frequency of data acquisition: Quarterly Additional Notes: 1).The 10 clinics within Kampala Capital City Authority exclude the IDI Mulago clinic. Kawempe HCIV and Kiruddu HCIV were dropped after September 2013, due to renovation of the facilities. Hope Clinic was also dropped after March 2016. From October 2016, IDI Mulago clinic was also considered

one of the KCCA clinics, however, data from the IDI Mulago site is reported separately. 2). Implementation in clinics within the CSF RRH Capacity building project (9 RRHs, 1 PNFP, 1 HCIV) ended in September 2015 and figures are reflected only in the 2012 total 3). Kampala region HIV project figure excludes the outreach project in the 10 clinics of KCCA.

Indicator Definition: Total number of individuals who were counselled, tested and received their HIV results. Unit of Measure: Number Disaggregated by: KCCA, Bunyoro districts, West Nile, Kampala region Data Source: HCT registers Frequency of data acquisition: Quarterly

Additional Notes: 1) Successive calculations will assess the number of individuals tested as a proportion of estimated number of people living with HIV to accurately determine efforts towards achieving the global target of “90% of all people living with HIV know their status”. 2) Implementation from clinics within the CSF RRH Capacity building project (9 RRHs, 1 PNFP, 1 HCIV) ended in September 2015 and is not included in this graph. 3). Kampala region HIV project figure excludes the outreach project in the 10 clinics of KCCA.

9,248 10,258 10,305 9,770 8,316 7,835 7,851 7,348 7,36313,370 21,529 33,636

60,306

96,288 104,443

68,066

96,945

210,620

As at end of2009

As at end of2010

As at end of2011

As at end of2012

As at end of2013

As at end of2014

As at end of2015

As at end of2016

As at end of2017

Active Clients in HIV Care Supported Directly or through Partnership by IDITotal clients supported as at December 2017: 217,983

IDI Clinic, Mulago

Total Supported through Outreach Programs

6,712 9,155 17,067

22,599 28,052 31,844 34,968

35,947

6,658

12,374 13,415

15,626 23,201

29,422 33,098

40,284 44,605

20,714

33,712

132,303

As at end of2009

As at end of2010

As at end of2011

As at end of2012

As at end of2013

As at end of2014

As at end of2015

As at end of2016

As at end of2017

Active Clients in HIV Care Supported through Partnership by IDIKCCA Project

Bunyoro HIV/AIDS Project

West Nile HIV/AIDS Project

Kampala Region HIV/AIDS Project

31,266 38,014 43,177 75,358

51,811 59,384 71,998 89,277 56,067

125,835 149,884 155,708 135,898

181,077 214,717 225,462

265,401

384,452

370,659 309,833

511,385

2009 2010 2011 2012 2013 2014 2015 2016 2017

KCCA Project




Individuals Counselled, Tested for HIV and Received Results

20


Indicator Definition: Total number of individuals counselled, tested and found HIV positive.

Unit of Measure: Number Disaggregated by: KCCA, Western districts, West Nile, Kampala regionp Data Source: HCT registers Frequency of data acquisition: Quarterly

Additional Notes: 1) Successive calculations will assess the number of individuals tested as a proportion of estimated number of people living with HIV to accurately determine efforts towards achieving the global target of “90% of all people living with HIV know their status”. 2) Implementation and reporting from clinics within the CSF RRH Capacity building project (9 RRHs, 1 PNFP, 1 HCIV) ended in September 2015. 3). Kampala region HIV project figure excludes the

outreach project in the 10 clinics of KCCA.

Indicator Definition: Number of active clients in HIV care (on ART/Not on ART) as a proportion of the total active clients in care in the KCCA project. Unit of Measure: Number Disaggregated by: On ART, not on ART

Data Source: Pre-ART and ART registers Frequency of data acquisition: Quarterly Additional Notes: Successive calculations will use the denominator ‘all people diagnosed with HIV infection’ to accurately determine efforts towards achieving the global target of “90% of all people with diagnosed HIV infection will receive sustained antiretroviral therapy”.

there’s no data for Jul-Sept 2017 as the project ended in June 2017.

Indicator Definition: Number of active clients in HIV care (on ART/Not on ART) as a proportion of total active clients in care in 7 districts in Western Uganda. Unit of Measure: Number Disaggregated by: On ART, not on ART Data Source: Pre-ART and ART registers Frequency of data acquisition: Quarterly

Additional Notes: Successive calculations will use the denominator ‘all people diagnosed with HIV infection’ to accurately determine efforts towards achieving the global target of “90% of all people with diagnosed HIV infection will receive sustained antiretroviral therapy”.

72%62%

56%48%

36%24%

14% 10% 8% 8%1%

28%38%

44%52%

64%76%

86% 90% 92% 92%99%

As at end of2007

As at end of2009

As at end of2010

As at end of2011

As at end of2012

As at end of2013

As at end of2014

As at end of2015

As at end of2016

Jan-March2017

Apr-June2017

Proportion of Active HIV/AIDS Clients on ART in the Kampala Capital City Authority (KCCA) 90/90/90: 2nd 90 Active - Not on ART

Active - On ART

5,729 6,498 7,205 9,258

6,380 6,113 6,680 6,887 4,486 5,383

6,157 7,540 8,013

9,729 10,560 10,114 11,026 12,235

19,070

3,693 4,771

2,248 2,114 2,307

2009 2010 2011 2012 2013 2014 2015 2016 2017

Individuals Tested with HIV Positive ResultsKCCA Project




Outreaches by 9 RRHS, 1 PNFP and 1 HCIV

72%67% 64%

53%

40%

26%16%

11%

0.1%

28%33% 36%

47%

60%

74%84%

89%

99.9%

As at end of2009

As at end of2010

As at end of2011

As at end of2012

As at end of2013

As at end of2014

As at end of2015

As at end of2016

As at end of2017

Proportion of Active HIV/AIDS Clients on ART in 8 Districts in Western Uganda90/90/90: 2nd 90 Active - Not On ART

Active - On ART

21


Indicator Definition: Number of active clients in HIV care (on ART/Not on ART) as a proportion of total active clients in care in West Nile region of Uganda. Unit of Measure: Number Disaggregated by: On ART, not on ART

Data Source: Pre-ART and ART registers Frequency of data acquisition: Quarterly Additional Notes: Successive calculations will use the denominator ‘all people diagnosed with HIV infection’ to accurately determine efforts towards achieving the global target of “90% of all people with diagnosed HIV infection will receive sustained antiretroviral therapy”.

Indicator Definition: Number of active clients in HIV care (on ART/Not on ART) as a proportion of total active clients in care in 7 districts in Kampala region.

Unit of Measure: Number Disaggregated by: On ART, not on ART Data Source: Pre-ART and ART registers Frequency of data acquisition: Quarterly Additional Notes: 1) Successive calculations will use the denominator ‘all people diagnosed with HIV infection’ to accurately determine efforts towards

achieving the global target of “90% of all people with diagnosed HIV infection will receive sustained antiretroviral therapy” 2). Kampala region HIV project excludes the outreach project in the 10 clinics of KCCA.

7.5%

0.1%

92.5%

99.9%

As at end of 2016 As at end of 2017

Proportion of Active HIV/AIDS Clients on ART in West Nile (WHP)90/90/90: 2nd 90

Active - Not On ART

Active - On ART

2% 0.2% 0.2%

98% 99.8% 99.8%

Apr-June 2017 Jul-Sept 2017 Oct-Dec 2017

Proportion of Active HIV/AIDS Clients on ART in Kampala Region (KHP)90/90/90: 2nd 90

Active - Not On ART

Active - On ART

22


Indicator Definition: Percentage of eligible clients who received viral load tests in the reporting period

Unit of Measure: Percentage Disaggregated by: KCCA, 7 Western districts, West Nile, Kamapala-Wakiso Data Source: UNHLS/CPHL VL Dashboard Frequency of data acquisition: Quarterly Additional Notes: 1). Viral load testing has been expanded in all IDI supported programs in order to contribute to the achievement of the third UNAIDS “90”

of 90% of all PLHIV on ART virally suppressed. 2) Data is retrieved from the Uganda National Health Laboratory (UNHLS) viral load dashboard.

Indicator Definition: Number of clients whose VL (HIV RNA) reduced to undetectable level as a proportion of total number of clients tested. Unit of Measure: Percentage Disaggregated by: KCCA, 7 Western districts, West Nile, IDI Mulago

Data Source: CPHL VL Dashboard Frequency of data acquisition: Quarterly Additional Notes: 1). Monitoring of viral load suppression rates has been expanded in all IDI supported programs in order to contribute to the achievement of the third UNAIDS “90” of 90% of all PLHIV on ART virally suppressed 2) Data is retrieved from the Uganda National Health Laboratory (UNHLS) viral load

dashboard. 3). Kampala region HIV project figure excludes the outreach project in the 10 clinics of KCCA.

Indicator Definition: Total number of HIV positive clients who had CD4 count tests done in the KCCA clinics, 7 Western districts and the 8 districts in West Nile. Unit of Measure: Number Disaggregated by: KCCA, 7 Western districts, West Nile

Data Source: HCT registers Frequency of data acquisition: Quarterly Additional Notes: 1). IDI outreach project started CD4 count testing in the districts of Kibaale and Kiboga in April 2009 by transporting blood samples to reference laboratory located in MUJHU, Makerere University College of Health Science. IDI has since then installed a CD4 machine at Kagadi District Hospital

in Kibaale district, Kiboga and Masindi District hospitals. 2). Kampala region HIV project figure excludes the outreach project in the 10 clinics of KCCA.

10,315 13,370

19,614

25,765

47,815

66,265

48,030 47,125

3,820 4,791 11,481

16,388 17,194 16,703

31,402 33,750

15,132 13,001

6,859 9,471

10,902

2009 2010 2011 2012 2013 2014 2015 2016 2017

Clients Monitored: CD4 Testing

KCCA Project




86% 88% 88% 88%97% 94% 95%

87%94% 91% 89%

79% 84%76%

81% 85% 87%

59%

75%

96% 96% 94% 99% 100% 98%


Viral Load Suppression Rates in ART Clients

KCCA Project Kampala Region HIV/AIDS Project Bunyoro HIV/AIDS Project West Nile HIV/AIDS Project IDI Mulago

18%25% 23%

29%

0%

28% 27%

40% 44%

31% 32%

20%26%

16%24%

40%

19%

107%

45%


Percentage of Eligible Clients who Received Viral Load Tests

KCCA

BHP


Kampala Region

23


Indicator Definition: Number of clients screened for TB at last visit in the reporting period

Unit of Measure: Number Disaggregated by: KCCA, 7 Western districts, West Nile Data Source: Outreach Database Frequency of data acquisition: Quarterly

Additional notes: 1). Data is aggregated from both the TB and HIV pre-ART and ART registers. 2). Kampala region HIV project figure excludes the outreach project in the 10 clinics of KCCA. 3) KCCA Project ended in April 2017.

Indicator Definition: Number of clients on TB treatment at the end of the reporting period. Unit of Measure: Number Disaggregated by: KCCA, 7 Western Districts, West Nile

Data Source: Outreach Database Frequency of data acquisition: Quarterly Additional notes: 1). Data is aggregated from both the TB and HIV pre-ART and ART registers. 2). Kampala region HIV project figure excludes the outreach project in the 10 clinics of KCCA.

Indicator Definition: Total number of clients treated for TB/HIV co-infection in the KCCA clinics, the EKKP districts, the IDI Clinic Mulago

Unit of Measure: Number Disaggregated by: KCCA, 7 Western districts, West Nile, IDI Clinic Mulago, CSF projects Data Source: HCT registers Frequency of data acquisition: Quarterly Additional notes: Kampala region HIV project figure excludes the outreach project in the 10 clinics of KCCA.

243 279 344

526

721

456

258178 121

583734

521 517

851694

848925

607

246

495366 416

508 573 640

1,790

2,036

1051

1282

447

2009 2010 2011 2012 2013 2014 2015 2016 2017

Clients treated for TB/HIV co-infection IDI Clinic Mulago

KCCA Project




36,386 35,897 37,395 38,478 37,408 37,059 42,674

30,564 36,096

44,132

20,009 20,343 21,991 15,139

23,215 33,691

56,778

101,159

129,433


Number of clients screened for TBKCCA Project




435 343

575

456

617 540 522

302

543

751 791

532 547 571 555

673

364

557 523


Number of clients on TB TreatmentKCCA Project




24


Indicator Definition: Total number of males > 13 enrolled and circumcised under the IDI safe male circumcision programme (AMAKA). Before 2014, males

above 13 were circumcised. This minimum age has been revised to 10 years as per the CDC guidelines. Unit of Measure: Number Disaggregated by: IDI-supported public health facilities, IHK (till Dec 2014) Data Source: Surgical registers Frequency of data acquisition: Quarterly

Additional Notes: 1) IDI-supported public health facilities include: Kisenyi HC III, Kikuube HC IV, Kigoobya HC IV, Kiboga, Kagadi and Kiryandongo hospital. 2) From April to June 2012, no circumcisions were done at IHK due to inadequate funding. 3) During the Jan- March 2016 quarter – the number of circumcisions was very low due to: communication from US mission to halt SMC implementation for a one month period; unclear guidance and clearance for implementation by MoH and; Haphazard initiation of T.T for SMC among IPs. IDI had planned a training in February with RHSP that was summarily cancelled due to a lack of a harmonized training curriculum.

Indicator Definition: Number of mothers attending ANC tested for HIV in the reporting period. Unit of Measure: Number Disaggregated by: KCCA, 7 Western districts, West Nile, Kampala Region

Data Source: Outreach Database Frequency of data acquisition: Quarterly Additional notes: Kampala region HIV project figure excludes the outreach project in the 10 clinics of KCCA. Indicator Definition: Cumulative number of women receiving PMTCT (Option B+) in the KCCA, 7 Western districts and West Nile HIV/AIDS project clinics.

Unit of Measure: Number Disaggregated by: KCCA, 7 Western districts, West Nile project Data Source: DHIS2 Frequency of data acquisition: Quarterly Additional Notes: 1).There’s a drop in figures in 2015 due to change of definition for women receiving Option B+: previous definition – all women receiving

PMTCT/ Option B+ who are active in the reporting period and their care entry point is PMTCT; new definition – women who are newly initiated on ART plus those who are already on ART but pregnant during this period. 2). Kampala region HIV project figure excludes the outreach project in the 10 clinics of KCCA.

12,464 12,496 13,678 13,888

27,33225,391

29,969

21,636 22,885 23,680

19,77416,885

21,376 21,376 22,510 22,460 21,094

32,291

27,668


Number of Mothers Tested for HIVKCCA Project




471

8,602

16,162

12,987

17,981

9,606

175

2,305 2,769 3,158 3,901 3,663

1,335 1,985

6,212

2012 2013 2014 2015 2016 2017

Number of Women Receiving PMTCT (Option B+)KCCA Project




4,346 4,458 14,594

6,062 - - -3,724

10,868

50,471 52,487

76,660

20,780

111,210

2011 2012 2013 2014 2015 2016 2017

Number of Males Circumcised under the IDI Safe Male Circumcision ProgramCumulative Total as of September 2017: 355,660

Partnership with International Hospital Kampala (IHK)

Public Health facilities

High due to SMC camps conducted in Jul-Sept 2017

25


Indicator Definition: Number of mothers counselled, tested with HIV positive results and number of mothers out of those tested who started on ART treatment (Option B+).

Unit of Measure: Number Disaggregated by: KCCA, 7 Western districts, West Nile

Data Source: Outreach Database Frequency of data acquisition: Quarterly

Indicator Definition: Number of babies tested for HIV and number of babies tested HIV positive Unit of Measure: Number Disaggregated by: KCCA, 7 Western districts, West Nile

Data Source: Outreach Database Frequency of data acquisition: Quarterly Additional Notes: For the testing of babies at 18 months the results for DNA PCR 1 and not for DNA PCR2 were used. According to the national guidelines DNA PCR1 should be conducted 6 weeks after cessation of breast feeding and then DNA PCR 2 at 18 months, however, in practice mothers will receive DNA PCR 1

even at 18 months and many do not come back for DNA PCR 2. Hence DNA PCR 1 is a better pointer for the HIV positivity rates among infants.

Indicator Definition: Total number of pregnant mothers who attend the 1st and 4th ANC visits at selected health facilities in Kibaale district. Unit of Measure: Number Disaggregated by: 1st ANC visits, 4th ANC visits

Data Source: Integrated Maternity Register (HMIS Form 072) Frequency of data acquisition: Monthly

2,730

482292

97% 94% 69%

Kampala Region HIV/AIDS Project Bunyoro HIV/AIDS Project West Nile HIV/AIDS Project

Number of Mothers Tested Positive and Proportion of Mothers Started on ART (Oct-Dec 2017)

Number of mothers tested positive Proportion of mothers started on ART (option B +)

1,653

986

537

Kampala Region Bunyoro HIV/AIDSProject

West Nile HIV/AIDSProject

Number of Babies Tested (Oct-Dec 2017)

40

27

20

Kampala Region Bunyoro HIV/AIDSProject

West Nile HIV/AIDSProject

Number of Babies Tested Positive (Oct-Dec 2017)

3,208 3,469

3,801

3,300 3,692 3,646

3,874

544 669 942 816

1,009 1,134 1,319

Month Av. 2011 Month Av. 2012 Month Av. 2013 Month Av. 2014 Month Av. 2015 Month Av. 2016 Month Av. 2017

Saving Mothers Giving Life ProjectPregnant Mothers Attending 1st and 4th Antenatal Care (ANC) Visits in Kibaale District

1st ANC Visits

4th ANC Visits

26


Indicator Definition: Number of live births as a proportion of the total number deliveries that occurred in selected health facilities in Kibaale district.

Unit of Measure: Percentage Disaggregated by: None Data Source: Integrated Maternity Register (HMIS Form 072) Frequency of data acquisition: Monthly Additional Notes: Prior to project implementation, on average there were 744 deliveries and 690 live births. SMGL started full project implementation in June

2012, increasing to 1000 deliveries with over 95% live births.

Indicator Definition: Total number of C-sections carried out at selected health facilities in Kibaale district.

Unit of Measure: Number Disaggregated by: C-sections Data Source: Integrated Maternity Register (HMIS Form 072) Frequency of data acquisition: Monthly

Indicator Definition: Total number of new born babies who died in the first seven days after birth and total number of mothers who died during delivery. Unit of Measure: Number Disaggregated by: Neonatal, maternal deaths Data Source: Integrated Maternity Register (HMIS Form 072) Frequency of data acquisition: Monthly

Additional Notes: Additional analysis shows that the majority of neonatal deaths at the health facilities in Kibaale occur within 24 hours after birth.

93%

97% 97%96%

94%

97% 97%


Saving Mothers Giving Life ProjectProportion of Live Births to Deliveries from the Health Units

13

93

114 120

140 154

187


Saving Mothers Giving Life ProjectC-sections Carried out in Kibaale District

8

13 13

17

13 12

15

5

2 2 2 2 2 2


Saving Mothers Giving Life ProjectNeonatal and Maternal Deaths that Occured in Kibaale District

Neonatal Deaths

Maternal Deaths

27

IDI LABORATORY PROGRAMME

Indicator Definition: Total number of tests done at the IDI core and Central labs over the years. Unit of Measure: Number Disaggregated by: Core lab, central labs

Data Source: Core and Central laboratories Frequency of data acquisition: Quarterly and annual Additional notes: From 2016, the central lab was combined with the stat lab and the side lab

Jan 2017

12,706 6,963

3,611 2,003 3,467

27,863

35,340

43,471

39,730

28,045

24,133 22,018 19,299

Qtrly Av.in 2004

Qtrly Av.in 2007

Qtrly Av.in 2010

Qtrly Av.in 2013

Qtrly Av.in 2014

Qtrly Av.in 2015

Qtrly Av.in 2016

Qtrly Av.in 2017

Core Labs Quarterly Testing VolumeMain Lab

Central Lab

28

IDI WEB PRESENCE

Indicator Definition: Number of the people who use the IDI website per month disaggregated by location. Unit of Measure: Number Disaggregated by: Ugandans, non-Ugandans Data Source: Google analytics Frequency of data acquisition: Monthly

Additional Notes: There’s an increase of website use in Jan-Mar 2016 due to job postings of over 20 job opportunities

Indicator Definition: The average amount of time (in seconds) it takes for the IDI web page to load, from initiation of the page view (e.g., click on a page link)

to load completion in the browser. Unit of Measure: Time Disaggregated by: None Data Source: Google analytics Frequency of data acquisition: Monthly

Additional Notes: An archived website was deleted from the server in September 2014; downtime occurred during a switch in providers in February 2015.

Indicator Definition: Average of number of people who have liked posts on the IDI Facebook page. Unit of Measure: Average Disaggregated by: None Data Source: Facebook insights Frequency of data acquisition: Annual

22.023.5

29.3

2015 2016 2017

Average Page Load Time

2,786 3,596

6,058

3,121 3,526 5,389

2,745 2,954

5,657 4,671

3,452 2,867

3,659

2,501 1,936

1,291

534 543

1,550

1,448

6,238 6,463

9,717

5,622 5,462

6,680

3,279 3,497

7,207

6,119

Jul-Sept 2015 Oct-Dec 2015 Jan-Mar 2016 Apr-Jun 2016 Jul-Sept 2016 Oct-Dec 2016 Jan-Mar 2016 Apr-Jun 2017 Jul- Sep 2017 Jul-Dec 2017

Users Per MonthUgandans

Non-Ugandans

298

1,018

579

2015 2016 2017

Average Facebook Post Likes Per Quarter

29

ANNEX

Documents

Infectious Diseases Institute College of Health Sciences ... · Individuals with HIV Positive Test Results 2009 to 31st December 2017 20 Active HIV ... (Option B+) 2012 to 31st December