DAPP Namibia Annual Progress Report - Project Abstract
TCE (Total Control of the Epidemic) is a systematic, evidence-based approach to providing high-quality, scaled-up HIV and TB prevention, treatment, care and support interventions. The approach is community-led, engaging HIV-negative and HIV-positive people to take control of their own health and make informed decisions to eliminate vulnerability to HIV/AIDS, TB and other diseases.
TCE project staff are currently integrated with 210 HFs across all regions of Namibia. The TCE approach in Namibia includes interventions along the entire cascade, including: index partner testing; tailored support/escorting to HF-based care and treatment; treatment adherence support; community tracing for reengaging antiretroviral therapy (ART) patients; comprehensive TB screening and TB preventive treatment (TPT) for people living with HIV (PLHIV); and demand generation and referrals to pre-exposure prophylaxis (PrEP), voluntary medical male circumcision (VMMC), prevention of mother-to-child transmission (PMTCT) and antenatal care (ANC).
The TCE approach also features differentiated service delivery (DSD) approaches that reduce unnecessary burdens on the health system and adapt and simplify certain HIV services to better serve the needs of PLHIV, such as Community Adherence Groups (CAGs) with multi-month and home-based ART dispensing for vulnerable patients.
COP-21 is the first year of DAPP COAG NU2GGH002348-01-00 through which the TCE approach is implementing project ACEC (the Advancing Community-Based Epidemic Control in Namibia Project). The program delivers systematic, evidence-based approaches to providing high-quality, scaled-up HIV and TB prevention, treatment, care and support interventions. Key programmatic results are discussed in detail within the Annual Performance Report narrative, a summary of key achievements during the Q1-2 COP-21 APR reporting period include:
Key Achievement: Half Year Result
- HIV positive individuals newly diagnosed through community-level index contact testing: 440 (429 adults, 11 children)
- Index contact HIV testing yield:19% (22% adults, 3% children)
- Newly diagnosed PLHIV linked to HIV care and treatment: 97% linkage rate, 73% same day, 95% within 7 days
-TRIOs formed for newly diagnosed and interrupted in treatment PLHIV for adherence support: 1,883 PLHIV
- PLHIV enrolled in Community-based Adherence Groups for adherence support and multi-month ART dispensing: 1,143
-Unregistered pregnant women identified and referred for ANC and/or PMTCT services at health facilities: 2,162
- PLHIV Mother-baby pairs followed-up to 18 months age to ensure baby is HIV negative: 1,456
- Babies of PLHIV mothers who were confirmed HIV negative at 18 months: 1,456 (100%)
- Treatment interrupted PLHIV who were successfully traced at community-level and reengaged in treatment: 7,482 PLHIV (98% reengagement in treatment rate)
- PLHIV diagnosed with TB and on treatment: 55
- TB contacts diagnosed with TB: 73
- TB contacts supported telephonically to complete TB preventative therapy: 2,471
- Children <5 who are TB contacts who were identified and referred for TB preventative therapy: 175