Progress toward COP 12 targets Mozambique-ICB 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: URS – Sex and age disaggregation included when applicable

Methods: Indicators Selected 12 NGI indicators included in COP in most countries (Mozambique reports 11/12 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

1. Number of pregnant women with known HIV status in PMTCT setting, by quarter % Overall target achieved=60% Q1 (14%) Q3 (26%) Q2 (21%)

2. Number of HIV-infected pregnant women receiving ARVs to reduce risk of MTCT, by quarter Q1 (19%) Q3 (27%) Q2 (18%) % Overall target achieved=64%

3a. Number of individuals receiving HTC services and receiving results, by quarter % Overall target achieved=52% Q1 (14%) Q3 (21%) Q2 (17%) Note: PICT/VCT, TB and PMTCT testing data are included.

3b. Number of individuals receiving HTC services and receiving results, by sex 53% 45% Note: PICT/VCT, TB and PMTCT testing data are included. % Overall target achieved=52%

4. Number of infants receiving an HIV test within 12 months of birth % Overall target achieved=18% Q1 (5%) Q3 (7%) Q2 (6%)

5a. Number of HIV-positive adults and children receiving a minimum of one clinical service (current patients), by sex % Overall target achieved=70% Note: Trend data not applicable. 70%

5b. Number of HIV-positive adults and children receiving a minimum of one clinical service (current patients), by age % Overall target achieved=70% Note: Trend data not applicable. 72% 53%

6a. Number of HIV-positive persons receiving CTX prophylaxis (current patients) % Target achieved=34% Note: Trend data not applicable. Achievement is reported only from subset of sites with patient-level databases

6b. Number of HIV-positive persons receiving CTX prophylaxis (current patients)-modified target % Target achieved=62% Note: Trend data not applicable. Achievement is reported only from subset of sites with patient-level databases.. Target shown here is recalculated, applying the proportion of patients who are captured in sites with patient-level databases.

7a. Number of adults and children with advanced HIV infection newly initiating ART (new enrollment), by quarter % Overall target achieved=74% Q1 (22%) Q3 (29%) Q2 (22%)

7b. Number of adults and children with advanced HIV infection newly initiating ART (new enrollment), by age and sex % Overall target achieved=74% 75% 76% 62%56%

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=70% 66%59% 71% 72%

9. Percent of adults and children known to be alive and on treatment 12 months after ART initiation Note: Trend data not applicable. Target not achieved

10a. Number of patients in HIV care screened for TB (current patients) Note: Trend data not applicable. Achievement is reported only from subset of sites with patient-level databases. % Target achieved=47%

10b. Number of patients in HIV care screened for TB (current patients)-modified target Note: Trend data not applicable. Achievement is reported only from subset of sites with patient-level databases. Target shown here is recalculated, applying the proportion of patients who are captured in sites with patient-level databases. % Target achieved=85%

11. Number of patients in HIV care and treatment starting TB treatment, by quarter Q1 (12%) Q3 (15%) Q2 (13%) % Overall target achieved=40%

Challenges Discrepancies in targets included in COP and SAPR – New on ART – Current on ART Discrepancies between data maintained in-country and URS – HTC services, infant testing, and TB treatment USG sets targets for indicators that cannot be reported on using existing national systems – CTX prophylaxis and TB screening among current patients in HIV care