Table 2.
Characteristics of clinics and population monitored and trends in EWIs, 2009 to 2013
| 2009 | 2010 | 2011 | 2012 | 2013 | p-valuea | |
|---|---|---|---|---|---|---|
| Patients receiving ART | 110,924 | 128,144 | 145,777 | 160,044 | 174,284 | |
| Number of clinicsb | 921 | 923 | 926 | 928 | 929 | |
| Median per clinic (min to max) | 73 (1 to 1,397) | 84 (1 to 1,929) | 95 (1 to 2,310) | 102.5 (1 to 2,650) | 110 (1 to 2,848) | |
| Patients achieving 12 months after ART initiation | 21,428 | 20,149 | 19,709 | 20,154 | 18,113 | |
| Number of clinicsc | 903 | 903 | 908 | 916 | 900 | |
| Median per clinic (min to max) | 14 (1 to 253) | 13 (1 to 548) | 13 (1 to 247) | 12 (1 to 283) | 11 (1 to 255) | |
| EWI results (%), (95% CI) | ||||||
| VL coverage | 53.8 (53.1 to 54.6) | 65.5 (64.8 to 66.2) | 73.7 (73.1 to 74.4) | 77.7 (77.1 to 78.4) | 79.8 (79.1 to 80.4) | <0.001 |
| VL suppression | 93.9 (93.4 to 94.3) | 94.6 (94.1 to 95.0) | 94.7 (94.3 to 95.1) | 93.3 (92.9 to 93.7) | 93.6 (93.2 to 94.0) | 0.620 |
| Retention in care | 84.0 (83.5 to 84.5) | 84.6 (84.1 to 85.1) | 83.8 (83.3 to 84.3) | 82.1 (81.5 to 82.6) | 82.9 (82.3 to 83.4) | 0.086 |
| Lost to follow-up | 8.3 (7.9 to 8.7) | 7.6 (7.3 to 8.0) | 8.0 (7.6 to 8.4) | 9.8 (9.4 to 10.3) | 9.2 (8.7 to 9.6) | <0.001 |
| Dispensing practices | 0.32 (0.29 to 0.36) | 0.31 (0.28 to 0.34) | 0.19 (0.17 to 0.21) | 0.13 (0.11 to 0.15) | 0.10 (0.08 to 0.11) | <0.001 |
| On-time pill pick-up | 91.1 (90.9 to 91.3) | 91.7 (91.4 to 91.9) | 91.9 (91.7 to 92.1) | 90.6 (90.4 to 90.8) | 91.6 (91.4 to 91.8) | 0.960 |
a
p-value by Chi-square for trend
b
Number of clinics dispensing ART in the reporting period
c
Number of clinics where there were patients who initiated ART during 12 months prior the reporting year and were expected to achieve 12-month outcomes within the reporting period