1. VL-EID-TB Performance
TASO Soroti Region
VL-EID-TB Performance
Dr Ninsiima Muhairwe
Francis Ocen

2. TASO Presentation outline VL coverage by district
Trends of VL coverage
VL suppression & Rejection rates
VL QI projects running by district, tested changes and outcomes
Next steps
EID Cascade
TB/HIV management

3. TASO District Health Centre VL Supression Rate Health centre
VL Suppresion Rate
Amuria
Ongutoi HC III
100
St. Michael Wera HC III
62.5
Bukedea
Kachumbala HC III
90.8
Malera HC III
73.3
Kaberamaido
Kakure HC II
Kaberamaido Catholic Mission HC III
72.7
Katakwi
Katakwi Akoboi HC II GOVT
Aketa HC III
70.3
St. Kevin Toroma HC III
Kumi
Kamaca HC III 80
Akide HC II
Ngora
Kobwin HC III
61.9
Ongino HC III
Serere
Kyere mission HC III 50
Ngora District Maternity HC III
92.3
Soroti
Eastern Div. HC III
71.4
St. Martins Amakio HC III
Ojom HC II

4. TASO

5. TASO Strategies Next steps Activation of VL teams
Re-organization of VL teams.
Monthly data review – dash board
Targeted CMEs.
IAC forms, Non-Suppression register
Counselors – HV sites
Weekly tracking of rejection, causes
Non-Supression clinics
Next steps
Stake holders meeting
Increased involvement of DHT
Targeted psychosocial support
Uphold the current strategies

6. TASO Running Viral load QI Projects Created a non- suppressed clinic
Creation of a viral load committee

7. TASO EID Cascade April to June 2018 HIV+WO MEN TESTED 1ST PCR
HIV+WO MEN
TESTED 1ST PCR
EID COVERA GE(1ST PCR <12 MONTHS)
# OF HEI TESTED <2 MONTHS OF BIRTH(1S T PCR)
PROPORT ION FOR 1ST PCR(<2M ONTHS)
# OF HEI GIVEN CPT TOTAL
# OF HEI GIVEN CPT <2 MONTHS OF BIRTH
%AGE CPT UPTAKE
TESTED POSITIVE AT 1ST PCR
%AGE HEI TESTED HIV+
LINKED TO CARE
Amuria
111 94
85% 50
53% 59 49
63% 1
1.10%
Bukedea 42
119% 18
36% 19 16
38%
2.00%
Kaberamaido 92 91
99% 54
59% 52
57% 4
4.40% 3
Katakwi 87 89
102% 38
43% 44 35
49%
0.00%
Kumi 53 77
145% 25
32% 39
51% 2
2.60%
Ngora 27
93% 14
56% 8 6
Serere 70
91% 29
41% 30
2.90%
Soroti
150
128 47
37% 67 31
52%
3.10% IM
639
624
98%
275
44%
318
239
2.20% 13

8. TASO Final outcomes for 24 Months cohort April- June 2018 District
HEI IN BIRTH COHORT
DISCHARGED NEGATIVE
POSITIVE LINKED TO ART
DIED
TRANSFER OUT
LTFU
Amuria 99 80 5 1 8
Bukedea 32 25 3
Kaberamaido 90 73 2 10 4
Katakwi 69 57
Kumi 54 45
Ngora 17 14
Serere 58 42 9
Soroti
102 83 6
TOTAL
521
419 (80.4%) 16 13 38 35

9. TASO Interventions employed to improve EID
Functionalizing Testing Point at ANC/MCH
Notification for results that are not received within 3weeks.
Structuring of mothers next appoint to expected EID return date.
Developed data base that captures the HEI date of birth and expected dates for EID testing.
Integrated EID into EPI outreach static and outreach.
Used reminder stickers for 1st, 2nd and 3rd PCR
Improving outcomes for 24 months cohorts
Intensified referral and tracking of LTFU-MBPs
Integrated of EID into EPI outreach/ static
Assigned mentors to specific facilities to follow-up MBPs.
Scaled up use of reminder stickers for 1st, 2nd and 3rd PCR and 18 months rapid test.
Monthly reviews of retention and birth cohorts for MBPs.

10. TASO HTS- TB Clinic Jan- Mar 2018 Apr-Jun 2018 District HTS_TST
Jan- Mar 2018
Apr-Jun 2018
District
HTS_TST
HTS_POS
Yield
Amuria
277 3
1.08%
100 10
10.00%
Bukedea NA 86 5
5.81%
Kaberamaido 27 1
3.70%
265 2
0.75%
Katakwi 53
0.00%
248 8
3.23%
Kumi
25.00%
Ngora
297 22
7.41%
402 6
1.49%
Serere 7
111 4
3.60%
Soroti
131
1.53% 76
1.32%
800 30
3.75%
1288 36
2.80%

11. TASO TB SCREENING IN ART Jan- Mar 2018 Apr-Jun 2018 District TX-CURR
Jan- Mar 2018
Apr-Jun 2018
District
TX-CURR
TX_TB
% TX_TB
TB_ART
% TB_ART
Amuria
5282
100.0% 40
0.76%
5480
5447
99.4% 34
0.62%
Bukedea
2237
2222
99.3% 5
0.22%
2322
2303
99.2% 7
0.30%
Kaberamaido
5641
5508
97.6% 18
0.32%
5721
5734
100.2% 47
0.82%
Katakwi
5054
4850
96.0% 28
0.55%
5174
5045
97.5% 25
0.48%
Kumi
4356
4339
99.6% 23
0.53%
4430
4423
99.8%
0.63%
Ngora
2405
2398
99.7% 14
0.58%
2491
2489
99.9%
0.20%
Serere
3712
3603
97.1% 20
0.54%
3849
3775
98.1%
0.36%
Soroti
9690 45
0.46%
10274
10021 32
0.31%
38377
37892
98.7%
193
0.50%
39741
39237
192

12. COP TB_STAT PERFORMANCE ACHIEVEMENT
Quarter target achievement of 96%
Cumulative 63% annual target achievement of the expected 75% by 3rd QTR
Need 794 cases to 100% annual target

13. TB Case Notification Rate –Soroti Region

14. GeneXpert Utilization from the seven hubs
TASO
GeneXpert Utilization from the seven hubs
The chart illustrates GeneXpert utilization and this has greatly improved case finding in the region

15. TB_ART PERFORMANCE

16. TB PREV Indicator performance April-June 2018
TASO
TB PREV Indicator performance April-June 2018
District
TB Prev(Expected)
TB Prev(Completed)
Completion Rate (%)
Kaberamaido -
Bukedea 47 17 36
Ngora 5
100
Soroti 32 30 94
Amuria 20 25
Serere
149 11
Kumi 64 4 6
Katakwi 1 9
TOTAL
328 79 24
Improvement from 16% in Jan to March 2018 to 24% in April to June 2018
Affected by unreliable stock levels and knowledge gap
Site reorientation carried out for 11 sites in May 2018

17. Facilities are now employing the VHTs in tracking lost TB patients
TASO
TB Treatment Success all forms
Treatment success has been poor because of suboptimal tracking systems at facility level.
Facilities are now employing the VHTs in tracking lost TB patients

18. KEY IMPROVEMENT STRATEGIES
Regional TB Collaborative (15 collaborative sites)
Improved screening at key entry points
Improved evaluation among presumptive cases
High index of suspicion (PCDs)
Appointment Keeping and active follow up
TB Cohort Review during treatment

19. RUN CHART FOR SELECT INDICATORS-TB COLLABORATIVE

20. In Partnership With;