National Centre for HIV/AIDS, Kingdom of Cambodian!lIDm~~~i5ru!~rue~mfH~6n2iiN11.~eiIDIiU!"WDermatology and STD Nation Religion King

PrOgreSS Repon on linked Response lVG~W~~i b Wbo~o

Quartar 2, Yaar 2010

::::::::::::: :::::::::::::::::::::::::::::::::::::::::::::::::. 0.0. u~Slcii uMlisnJi~lm:uiiM90 lsitrllt1 ANC q\lUUUru"l2filrl 1.1. Number of ANC·1 consultations at health centers

0 . ~. ti~slcii uMlisnJi~lmmiiM9<!l lsilCtlt1 ANC filmul;!ru!Jls 1.2. Number of outreach ANC· 1 consultations

0.rn. ti~slcii uMlisnJl~lmmiiM9!!llsilfilt1 ANC qtlUU!!ru"l2filrl 1.3. Number of ANC·2 consultations at health centers

<!l.tS . U~Slcii uMlisful~lmmiiM9~ lsilCtlt1 ANC fi:mul;!ru!Jls 1.4. Number of outreach ANC-2 consultations

<!l .r.i . Ii~Slcii UMliSful~lm:U1tir; mel~ (ANC·3 +ANC-4 +ANC·5 + ..) lsilCtlt1 ANC !'i~UU!!ru"l2tnrl 1.5. Number of ANC-3 • consultations at health centers

<!l.OJ. ti~slcii UMlis!ul~lmlU1tir; mtl~ (ANC·3 +ANC-4 +ANC·5 +...) lsilCtlt1 ANC filmul;!ru!Jls 1.6. Number of outreach ANC-3 • consultations

l1'l@lft~rutJY1~~~~1J1~~~t · •• ••·• •••· . Bh~QdTlIstln.iifQ~ ~r~~ri~iiiw6rii~;; •.. •••·· <!l.ri.li~sfiillillMrullUIUrt!lciilllsl~lml msutJisHliu~ltilfil1t:iii 1.7. Number of blood sample of pregnant women referred to lab

1.8. Number of HIV positive result

0.1i . tiSsrugtlruinfilrulluIM1Ulnnfl1ltll RPR ltllllsu.... .. U

1.9. Number of positive result for RPR syphilis test

·TI1j~~BI9'l~B1CUtli1ii~;> ••••••.:• .. ...... » ;:::: . . < : •• : <> R~i~i;;~i~tQ9ih~r~~Ni~'~ " . · : · ; » ......... . . : :.:,:,:.:,:.:: :: :<:<:<:<:>....::{::::::{::::( >. <;).<;)0 . ij~SLci!lflsl~lm:~MlUlmilHtlM m9UtJislfliq:truplg~rumrnJ1ti1ru IsilMtllruml umi

mUlrn:muhl9i!!n!llilHtlMmU~:

1.10. Number of HIV-positive pregnant women referred to enroll for treatment at satellites or hubs through home based care teams

0.00. ti~slciiIll91~lmIIllStnlifilW1!lEmutnn tilSU'1)slflimS ~SM"l2I'1lrl[!jfl1ll (Fam;ty H••,th C.nic)

1.11. Number of pregnant women with STI symptom referred to Family Health Clinic

t1~tr1Bti~t3~ •.. :::::: ••• j;~~~~~~<» ...

<!l. <!li!J. ti~ScJllillMrullUlslel~lUrt!lciilllsl~lm: tilSUtJiSlgj\l~llilfil1t:iS 1.12. Number of blood semple of partner of pregnant women referred to lab

<!l. <!lm. Ii~Sltl~IIUfiilciilllsl~lm: ItlruIllSru~tlrultl~ H)V 1~1fl9 1.13. Number of partners with HIV positive result

~-ni1tr1il,.nflUti~nrn~B .···· . 2- beUve~SerVl~~ · .·

.......... . .. ...... .

2.1. Number of deliveries at referral hOspital

2.2. Number of deliveries at health centers

!!l.rn. ti~slciicJnru1Jslsi~mlltllHUlelrutilSg~rumIUIlj)IUU!)lru 2.3. Number of deliveries at home by trained midwives

I!JtS ti~slciicJnru1Jslsi~:ltlltllHUvmU1 ( ttntll am 2.4. Number of deliveries at home bv traditional birth attendant (TBA)

.

s1.

0

0

0

0

0

0

o

o

o

o

0

0

0

0

0

0

0

Report Q2 2010

Total All Sites Total

15-49 >49

36,074 0 36,074

3,716 0 3,716

28,622 0 28,622

3,733 0 3,733

55,895 0 55,895

5,508 0 5,508

30,249 6 30,255

72 o 72

9 o 9

34 o 34

278 0 278

. .. . ... .. .

6,065 3 6,068

20 0 20

.. . . ..

2,847 0 2,847

15,666 0 15,666

5,041 0 5,041

2,668 0 2,668

. . . . .. .

.... . . .. .. .. .. .... . . - . . . ' ~'. ".'..,.,... ....... .:,',','

m.0 ti@sHnilt:lsr\~l:ltLfiunMIl~ 3.1. Number of current users

o 252,448 463 252,911

...... ' ... '.', ... . . . . .... . ..... . . .... ... .......... .. . . . . . . . .... ... « :::::: ::: :::::::: :::::::::::-:::::::::: ::::: ::::::::::: ::::::: .........:.:.:.:«~-:H~~tll!l~~~~J~ :.:.: ••.•. .••.•••••• ••• •••

.... ...... ..... . . . . .. .. _ ... .. ...... ...... . 4~ : 6ttiet : Ciient~ ::·· .. . . ... . . . . . . . . . . .

. . ....... . . .

: ~:~:~:~ : ~: ~ :~:~ : ~ : ~ :; :: ........... . ........... .. . . . . . . . . . .

(satallite or hub)

4.1 . Number of other blood samples (excluding pregnant women and partners) referred to satenite or hub 174 11,549 209 11,932

4.2. Number of other bloOd samples (excluding pregnant women and partners) with HIV positive result 6 274 2 282

fp' _ (Part III

tl-~~lrIs~~t~Hiai~ttT\I~~llhrn,tHaM1~~¥~~iiCUi~lml •• •••• .... ... .•.:..•: . :~ : ~ : :: :: :» ~ ? 5:.iiifQrmationabout Hiv. :positive pregnantwomenai.ANCselVlCe.·· · .

. . ... . . . . . ... , .. , ', . . . . , . , .....•: : : : ::: :: : : [~/:?'::: :: :::::

ri.0. ti~Srtl!IlL~IflSl~tml~l"itlltnmHtJM t9llqlllrD§

5.1 . Total number of newJy enrolled HIV positive pregnant women

o 69 0 69

ri .0 .0 . ti@SL~ 'ill:l~stll~l"it!ltmitHtJM i!sU1rnlflsl~tmmul"its: t9Iltj:UrD§

5.1.1. Number of newly enrolled pregnant women who knew their HIV+ status before th ~s pregnancy

o 24 o 24

ri.0.~. ti@SL~ 'ill:l~Stll~l"it!ltniitHtJM ql:lU1rnlflsl~tm:uul"itS' t9lltjlllrD§

5.1.2. Number of newly enrolled pregnant women leamed their HIV+ status during this pregnancy

o 45 o 45

ri.~. ti~SL~lflsl~lm:~l'iI!ltnmHtJhl mSg~rnrmnJlmrnttllm3MLllml:ltlltnmHclhl (HAART),lUtUim

i!SU1rnlfls'i~tml (CD4 ~ 350) t91lQilltUg

5.2. Number of nftWly enrolled HIV positive pregnant women on HAART before this pregnancy (C04 ~ 350)

o 19 o 19

ri.m. ti@SU~1fl9'i~tm:~I"it!ltniitHtJrJ t9\l\mit~!lI'ilU1Jlmrnttllm3MLllml:lt!ltniitHtJM (HAARl)

1 r!l:lr\gjl:lU1rnlfls'i~tmmul"its: (CD4 $ 350)

5.3. Number of HIV posItive pregnant women newly Initiated HAART dunng this pregnancy (C04 < 35 0)

o 9 o 9

5,4. Number of HIV positive pregnant women newly initiated ARV prophylaxis «(,04 :::: 35 0)

(CD4 2: 350) 0 11 o 11

ri.ri. ti~SU~1fl9'i~tm:~l'mltnmHtJrJ mSI~ti~S IthmiJl"iiJl:l

5.5. Number of HIV positive pregnant women had spontaneous abortion

0 2 o 2

r1 . ~. ti~sLciilfls'i~tm:~l"itlltnmHtJM msi~n~s 5.6. Number of HIV positive pregnant women had induced abortion

0 o o o

ri .ri. ti~SL~lfls'i~tml~1\t\.lIniitHtJhl mS'lJltiql:lHg~l:lU1rng~rnrnmJlmrn 9l:lnllltllS

5.7. Number of HIV positive pregnant women died'during treatment and follow-up period 0 o o o

ri.c;I. ti~SL~lfls'i ~tm:~l"it!ltmitHtJrJ tm:ulitmrnrnmJlmrn 9l:lnllltlls

5.B. Number of HIV posi1ive pregnant women lost to follow-up

0 2 o 2

ri .li. ti@Slriilfls'i~tml ~ l"it\lmntHtJhl mSIl~Stgjtj:trn]lllsitMt1 Ol/ART 5.9. Number of HIV·positive pregnant women referred to Ol/ART for enrolment

0 41 o 41

............ .. . .. ... .................. ...... ... .... ............ ...... .... ... ........... . . ...... ... ... . ....... . .. .. .... . . .. ... .... . ....... .. ..... .. ... . .:.:. ::::::::::::::::::: ~:~ :~: ~ : ~:: ::: ::... ' .

~.0. ti@s'ismIrJnrn~SI\lML~lfls'i~tm:~I"it\ltniitHclM 6.1. Number of deliveries from HIV positive pregnant women

o 66 o 66

6.1.1 . Number of HIV positive mother received HAART greater or equal to 4 weeks during pregnancy

o 46 o 46

6.1.2. Number or HIV positive mother received HAART less than 4 weeks during pregnancy

o 3 o 3

I ~ . 0.m . ti@s\flm~l"itYtmitHclM mSg~rnm'rumrotJ~Uttllm3hlLllml:ltYtniitHcl~ (A RV prophylax is) tdistlll:li t~ C;

hl£ilul

6.1.3. Number of HIV positive mother received ARV prophylaxis greater or equal to 4 weeks during pregnancy

o 11 o 11

6.1.4. Number of HIV positive mother received ARV prophylaxis less than 4 weeks during pregnancy

o o o o

Ol.~. U~SLr]j\l181~lm:~rilt!ln1ilHClW tilsrJnrn lBimtl~: 6.2. Number of deliveries from HIV positive pregnant women at home

o 5 o 5

6.3. Number of deliveries from HIV positive pregnant women at health center or referral hospital

o 61 o 61

6.4. Number of HIV positive mother continued HAART during delivery

o 21 o 21

0l.1i. U~s\flrn~i'iltlln1ilHclW til8g~rnmnUtl1rnU\lUlCnrn~filLlLUrnl:lltllmilHtlW (NVP+ ZDV)

ql:lHg~l:lmrnruhm:ll1nrn

6.5. Number of HIV positive mother received ARV prophylaxis (NVP+ZOV) during delivery

o 8 o 8

@.@. U~S\flrn~1iltlm1ilHtlW tilSg~rn 3 TC+ZDV Irn:mrn0fillfuitUilrnmrnrJnrn 6.6, Number of HIV positive mother received 3TC+ZOV for 1 week after delivery

o 10 o 10

@riI. U~S\flrn~1iltlm1ilHtlW tilSflllU ql:lHg~l:lmrnrJnrn 6.7. Number of HIV positive mother died during delivery

o o o o

ri-n~ltlMnl}lJnlRri~\f1!11~nltJlri~lHilrii.·· ..•.• •::::::::::::::::::.. >:;;;:;;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:;:.••. 1;i~f6rmatio~about~i~iiii~dihfai1tS·· .•.•...•...•.•••• :: :::::::::~}}:: : ...•••.•.••.•••.• }}}})))\?.;:.

. .......... ............ . ........... .:.:.:.:.:.:.:.:.: .:.:-> ................ . ', ... . . . . . . . . . . . .. . ....... .............. .

7.1. Total number of newly enrolled exposed infants

65 o o 65

I n.l!l. U~S9111i tilSg~rnmnUtllrnUWJttnrn~filLlLUrnl:lltlm1ilHtlW NVP+ZDV (NVP+ZDV prophylaxis)

IJltl91[Jilrnlmllll1nru

7.2. Number of exposed infants received NVP+ZOV prophylaxis immediately after delivery

49 o o 49

n.m. U~S91I1i tilSg~rnmnUtl1rnuWJttnrn~filLlLUrnl:lltlm1ilHtlW ZDV (ZDV prophylaxIS)

Irn: III ru0fillfu'il LmrnlllrurJnrn 7.3, Number of exposed ~nfants received ZOV prophylaxis for 1 week after delivery

28 o o 28

n.r;. U@S91!1i tilSg~rnmHUtl1rnU\r1Jttnrn~r..lLlLUrnl:lltlm1ilHtlM ZDV (ZDV pmphvlaxis)

Irn: IIlrur;fillfu'il LmrnlllrurJnru 7.4. Number of exposed infants received ZOV prophylaxis for 4 week after delivery

19 o o 19

~5S1BH~flUnlnrl~'!lCJ~ntB1ri~1J1~rii 1131mill ~~~tli •••• ••.. intolinationatiiiut eXP6sedlnfaniSil.t6w.eek <it age ••.... . ..

7.5. Number of exposed infants started Cotrimoxazol prophylaxis at the age of 6 weeks

29

45

4

0

0

0

o

o

o

29

45

4

7.6. Number of exposed infants received first DNA-peR test at the age of 6 weeks

IriI.@.0. U~S91I1i \l1Srn\!tlrnll'i~ DNA·peR UU1i90 l~\l1S Sl:ltilSUrJiS1911ilSlfiltltLlm-tlJltilrn lllilHtlW nury\l11

17.6.1. Number of exposed infants with first DNA-peR test result positive and referred to pediatric AIDS care

~~~~~~~~~~bltMorta~n"llJ~Q(flJ"l"~n\Dor~nflJlnm~~~ •••••••• •• .... Flii~i 61rt2(jiti~ 6f ~x~6~~d iiifa~t~r~.·· .

. . . . ~ ..:..:' ..... ~.... ..•.•.... . ..

7.7. Number of exposed infants received second DNA-peR test at the age of 7.5 months (6 weeks after weaning)

12 0 0 12

0 0

0 25

0 31

7.7.1. Number of exposed infants with second DNA-peR test result positive referred to pediatric AIDS care

o o

7.8. Number of HIV-exposed children reported exclusive breast feeding

25 o

riI.8. USS91I1iI1iI'i~\l1rntl1iltlln1ilHtlwttlrnnrn1ill[uitl1tilSUluhtnrn91iltn:l1ilfil9filluun,,; 1 .

7.9. Number of HIV-exposed children reported exclusive formula feeding

31 o

,ri.<;)o. tla891lntiinliIllCJltlrmllneitH~r.iI~runCJlmllliittl\:ils\iluitr;llCJl9fml1:IllCJltlll 811 9rilr;ll:t~ltlll

'" n "'i .., 0 0 0 0 7.10. Number at HIV-exposed children repo~ed mixed feeding

rio<;)0 . ti~s91lntNl1tilf1Ul~nnllmilil~r.3 UlS'lJlUqllH9~lltmurnllr;llS 3 0 0 3

7.11 . Number of HIV-exposed children died during follow up

nl.0i;) . ti~S91ll'itNl1tilf1Ul~ntytmilll~r.3 UlStUllUlitUlrumlr1JlUlru 911fllyr;llS 1 0 10 I

17.12. Number of HIV-exposed ~ildren lost to follow up

ri.0m. ti~s91ln\l1sru~tlrutl1f1l DNA-peR \illtLmUl fil~\l1S Ulsun,:1I1mntlgi 911fllYr;lls 10 0 100

I 7.13. Number of exposed infants with final DNA-peR test result negative discharged from care

nl.0G . ti~Slf1Ul~ntYmfilil~r.3 UlS'lJlti ~llHg~llmruqJlUlru 911fllyr;lls ~S 1 0 10 7.14. Number of HIV positive mother died during infant follow up period

ri.0~ .ti~Slf1Ul~ntllmfililClr.3 UlStUlltllimlr1JlUlru 911flllltllS nllfi9Jllmrur1JlUlru 811fllYr;llSQS 00 0017.15.Number of H;V positive mothe~ lost to follow up during the infant fOIlO~-up ~eriOd

I

Phnom Penh, 'CO August 2010 Phnom Penh. \c;;. August 2010 Phnom Penh. 'E. August 2010 Chief of Aids Care Unit Chief of Data Management Unit Data Management Unit

Dr. Samreth Sovannarith Mr. Mam Sovatha Mr. Sun SokLeng