Progress toward COP 12 targets DRC October

Methods: Measurement period and data sources Targets – Period: October 2011-September 2012 (annual) – Data sources: COP, SAPR – Sex and age disaggregation included when available Achievements – Period: October 2011-June 2012 (goal: 75% of target met) – Data source: Q3 update of SAPR – Sex and age disaggregation included when applicable

Methods: Indicators Selected 12 NGI indicators included in COP in most countries (DRC reports 10/12 indicators) Span multiple programmatic areas 11 indicators have numeric targets (e.g. # of pregnant women with known HIV status in PMTCT setting) – Calculate % target achieved – Numerator=Achievement / Denominator=Target 1 indicator has % target (i.e. % of ART patients known to be alive and on treatment at 12 months) – Assess whether target exceeded, achieved or not achieved – Compare % retained in last reporting quarter to target

PMTCT sites % Target achieved=20%

1. Number of pregnant women with known HIV status in PMTCT setting % Target achieved=15% Note: Trend data not available from country data source.

2. Number of HIV-infected pregnant women receiving ARVs to reduce risk of MTCT % Target achieved=12% Note: Trend data not available from country data source.

HTC sites % Target achieved=65%

3a. Number of individuals receiving HTC services and receiving results, by sex Note: PICT/VCT and PMTCT testing data are included. 22% 26% % Overall target achieved=23%

3b. Number of individuals receiving HTC services and receiving results, by age Note: PICT/VCT and PMTCT testing data are included. 22% 58% % Overall target achieved=23%

4. Number of infants receiving an HIV test within 12 months of birth % Target achieved=7% Note: Trend data not available from country data source.

HIV care and treatment sites % Target achieved=35%

5a. Number of HIV-positive adults and children receiving a minimum of one clinical service (current patients), by sex % Overall target achieved=76% Note: Trend data not applicable. 99% 51%

5b. Number of HIV-positive adults and children receiving a minimum of one clinical service (current patients), by age % Overall target achieved=76% Note: Trend data not applicable. 74% 101%

6. Number of HIV-positive persons receiving CTX prophylaxis (current patients) % Target achieved=78% Note: Trend data not applicable.

7a. Number of adults and children with advanced HIV infection newly initiating ART (new enrollment), by quarter Q1 (10%) Q2 (11%) Q3 (10%)

7a. Number of adults and children with advanced HIV infection newly initiating ART (new enrollment), by age and sex % Overall target achieved=32% 41% 42%33% 20% Note: Trend data not available from country data source.

8. Number of adults and children with advanced HIV infection receiving ART (current enrollment), by age and sex Note: Trend data not applicable. % Overall target achieved=63% 93%87% 80% 37%

TB/HIV sites % Target achieved=100%

10. Number of patients in HIV care screened for TB (current patients) Note: Trend data not applicable. % Target achieved=75%

11. Number of patients in HIV care and treatment starting TB treatment % Target achieved=56% Note: Trend data not available from country data source.

Challenges SAPR template provided by CDC contains formula errors Discrepancies between data maintained in-country and URS – Current on ART, TB treatment among current HIV patients undercounted in URS – Current in enrollment into HIV care, CTX prophylaxis and TB screening among current HIV patients not reported in URS Delays in site start-up unrelated to performance issues contributed to under achievement of targets