In Support Of South Africa’s National HIV Program PEPFAR Oversight and Accountability Results Team (POART) COP16 (F (FY17 Q4) ) Annual Program Results Review 27 Focus Dis istricts PEPFAR South Africa December 2017
COP16 - FY17 Q4 POART – 27 Focus Districts Outline/Table of Contents Program Area Slides Overview – Results 3-5 VMMC 6-11 DREAMS 12-14 OVC 15-20 Priority Populations Prevention 21-25 Key Populations 26-31 1 st 90 32-46 2 nd 90 47-63 3 rd 90 64-69 Above Site Investments 70-76 SIMS 77-81 2
COP16 (FY17 APR) Overview: 27 Focus Districts Good performance against target : HTS, Viral load suppression, and Prevention portfolio FY2017 Q1 FY2017 Q2 FY2017 Q3 FY2017 Q4 FY2017 APR FY2017 TARGET % Achievement HTS_TST 2,456,092 2,567,085 2,870,112 2,778,479 10,671,768 5,767,766 185% HTS_TST_POS 221,892 234,127 241,300 223,025 920,344 839,648 110% HTS Yield 9.0% 9.1% 8.4% 8.0% 8.6% 14.6% TX-NEW 183,957 191,305 155,646 163,816 694,724 965,131 72% Linkage 83% 82% 65% 73% 75% 115% TX_CURR 2,950,894 3,040,021 3,157,137 3,157,965 3,157,965 3,935,927 80% TX_NET_NEW 235,131 89,127 117,116 828 442,202 1,220,164 36% TX_RET 70% 70% 90% 78% TX_PVLS 85% 85% 91% 93% VMMC_CIRC 44,626 47,280 158,791 189,950 440,647 393,465 112% PrEP_NEW 304 381 698 768 2,151 1,279 168% KP_PREV 116,930 71,115 188,045 109,385 172% PP_PREV 343,849 752,441 1,096,290 579,323 189% OVC_SERV 442,200 762,304 799,820 664,521 120% *PP_PREV target excludes SRHR and condom promotion / provision NB: Low net increase in Tx_Curr Q3 to Q4 was due *OVC_SERV results reported for 52 districts to data reporting corrections, which have APR-Annual Program Results been addressed. Net increase in reported Tx_Curr was 207,071 for facilities supported in the 27 focus districts. 3
COP16 (FY17 APR) Overview: 27 Focus Districts Did not achieve target : TX_NEW, TX_CURR, Retention FY2017 Q1 FY2017 Q2 FY2017 Q3 FY2017 Q4 FY2017 APR FY2017 TARGET % Achievement HTS_TST 2,456,092 2,567,085 2,870,112 2,778,479 10,671,768 5,767,766 185% HTS_TST_POS 221,892 234,127 241,300 223,025 920,344 839,648 110% HTS Yield 9.0% 9.1% 8.4% 8.0% 8.6% 14.6% TX-NEW 183,957 191,305 155,646 163,816 694,724 965,131 72% Linkage 83% 82% 65% 73% 75% 115% TX_CURR 2,950,894 3,040,021 3,157,137 3,157,965 3,157,965 3,935,927 80% TX_NET_NEW 235,131 89,127 117,116 828 442,202 1,220,164 36% TX_RET 70% 70% 90% 78% TX_PVLS 85% 85% 91% 93% VMMC_CIRC 44,626 47,280 158,791 189,950 440,647 393,465 112% PrEP_NEW 304 381 698 768 2,151 1,279 168% KP_PREV 116,930 71,115 188,045 109,385 172% PP_PREV 343,849 752,441 1,096,290 579,323 189% OVC_SERV 442,200 762,304 799,820 664,521 120% *PP_PREV target excludes SRHR and condom promotion / provision *OVC_SERV results reported for 52 districts APR-Annual Program Results 4
Substantial Improvements Between COP15 and COP16 (FY16 and FY17) 19% 7% 27% 20% 16% 54% Large increase increase increase increase increase increase increase 920,344 10,671,768 694,724 76% 3,157,965 440,647 2,151 861,291 8,968,393 2,715,763 63% 546,797 285,260 11 FY2016APR FY2017APR 5
VMMC 6
Overall COP16 (FY17) Performance 500 000 460 668 428 486 450 000 July-Sep 2017 400 000 350 000 300 000 250 000 Apr-Jun 2017 200 000 150 000 100 000 Jan-Mar 2017 50 000 Oct-Dec 2016 - FY17 Targets FY17 Results 250000 1,273,212 males circumcised through the 200000 PEPFAR program in the past three years 150000 100000 50000 0 Jul-Sep 14 Oct-Dec 14Jan-Mar 15Apr-Jun 15 Jul-Sep 15 Oct-Dec 15Jan-Mar 16Apr-Jun 16 Jul-Sep16 Oct-Dec 16Jan-Mar 17Apr-Jun 17 Jul-Sep 17 VMMC Perfomance Linear (VMMC Perfomance) 7
FY17 Performance Across Districts 96% 60 000 100% Performance above 100% 90% 79% 50 000 80% 70% 70% 40 000 59% 60% 53% 50% 50% 48% 47% 30 000 50% 39% 35% 40% 20 000 30% 25% 20% 10 000 10% - 0% FY17 Oct 16 - Sep 17 Results FY17 Results (%) DREAMS 8
VMMC Age trend FY16 – FY17 131 389 47 400 55 890 121 067 48 878 49 763 163 301 198 410 100% 1% 1% 1% 1% 1% 1% 1% 2% 17% 18% 19% 20% 23% 23% 27% 28% 80% 9% 11% 10% 15% 10% 11% Total 12% 12% 17% >=50 60% 23% 20% 16% 18% 25-49 16% 26% 20-24 26% 15-19 40% 10-14 55% 50% 49% 49% 47% 43% 20% 38% 32% 0% FY16 Q1 FY16 Q2 FY16 Q3 FY16 Q4 FY17 Q1 FY17 Q2 FY17 Q3 FY17 Q4 9
VMMC Program Quality (SIMS) VMMC SETS Total CEEs RED YELLOW GREEN 05_01 [069] VMMC Registers (paper) 31 23% 3% 74% 05_02 [070] VMMC Registers (electronic) 1 0% 0% 100% 05_03 [071] Adverse Event Prevention and 33 21% 0% 79% Management 05_04 [072] Voluntarism and Informed Consent 30 7% 0% 93% 05_05 [073] VMMC Clinical Follow-Up 30 7% 10% 83% • Overall performance: 82% Green • New VMMC registers were introduced last month • AE training & introduction of improved AE reporting forms 10
DREAMS 11
DREAMS Districts (CoJ, Ekurhuleni, eThekwini, uMgungunlovu, uMkandekude) Distribution of ANC clients by age between COP15 and 16 (FY16 - FY17) ANC Clients Ages 15-19 ANC Clients Ages 20-24 30000 33% % dr drop op be between 25% % dr drop op be between 9000 25000 R² = 0.7534 FY FY16 & & FY FY 17 FY FY 16 & & FY FY 17 8000 20000 7000 6000 R² = 0.7527 15000 ANC Clients (Ages 5000 ANC Clients (Ages 20-24) 4000 10000 15-19) 3000 Linear (ANC Clients 2000 5000 Linear (ANC Clients (Ages 20-24)) 1000 (Ages 15-19)) 0 0 FY2016Q1 FY2016Q2 FY2016Q3 FY2016Q4 FY2017Q1 FY2017Q2 FY2017Q3 FY2017Q4 FY2016Q1 FY2016Q2 FY2016Q3 FY2016Q4 FY2017Q1 FY2017Q2 FY2017Q3 FY2017Q4 ANC Clients Ages 25+ 8 % % dr drop between 60000 FY FY 16 & & FY FY 17 R² = 0.3431 50000 40000 30000 ANC Clients (Ages 25+) 20000 10000 Linear (ANC Clients (Ages 25+)) 0 FY2016Q1 FY2016Q2 FY2016Q3 FY2016Q4 FY2017Q1 FY2017Q2 FY2017Q3 FY2017Q4 12
DREAMS Districts (CoJ, Ekurhuleni, eThekwini, uMgungunlovu, uMkandekude) Distribution of Newly Identified Positives by age between FY 16 & FY 17 DREAMS Districts Newly Identified Positive Reduction in by Age Identified 12000 positives in ANC in DREAMS districts 10000 between FY 16 8000 and FY 17: Newly Identified Positive (Ages • 15-19 years: 25+) 6000 Newly Identified Positive (Ages 25% 20-24) 4000 Newly Identified Positive (Ages • 20-24 years: 15-19) 6.8% 2000 • 25+ years: 0 7.4% FY2016Q1 FY2016Q2 FY2016Q3 FY2016Q4 FY2017Q1 FY2017Q2 FY2017Q3 FY2017Q4 13
DREAMS Districts (CoJ, Ekurhuleni, eThekwini, uMgungunlovu, uMkandekude) DREAMS Districts Performance, FY17 1600000 200% 181% 180% 1400000 1 344 771 160% 1200000 140% 1000000 120% 105% 800000 91% 100% 742 266 88% 82% 80% 600000 60% 366 907 400000 349 600 282 330 40% 257 330 200000 20% 12 285 1 233 10 769 1 501 0 0% HTS_Community PP_Prev OVC_Serv Gend_GBV PrEP New Target Result %Achieved 14
Orphans and Vulnerable Children (OVC) 15
OVC Served – Summary Achievement FY17 Q4 OVC_SERV Results & % Achievement % Achieved 90000 • OVC Program 160.00% achieved 115% of 80000 FY2017 target 140.00% • 23 of the 27 Focus 70000 Districts achieved 120.00% No. of beneficiaries reached 60000 80% or above target. 100.00% 50000 80.00% 40000 60.00% 30000 40.00% 20000 20.00% 10000 0 0.00% *Results over 175% not reported in chart. This includes: Buffalo OVC_SERV Results DSD +TA % Achieved City Metro, Mopani District, Ugu District, Harry Gwala District, King Cetshwayo District, Alfred Nzo Gray = Saturation Districts District, Dr. KK District, and 16 Waterburg District.
No of Beneficiaries 100 000 200 000 300 000 400 000 500 000 600 000 OVC HIV_Status Program Performance and Linkage to ART OVC_HIVSTAT Negative OVC_HIVSTAT Positive OVC_HIVSTAT Other Reasons OVC_HIVSTAT Test Not Indicated 0 OVC_HIVSTAT APR 2017 Result Results 170 914 320 775 66 716 9 079 30% 2% 57% 12% No. of beneficiaries 1000 1200 1400 1600 1800 2000 200 400 600 800 0 ec Alfred Nzo District Municipality ec Chris Hani District Municipality OVC_HIV STAT_POS and Linkage to ART FY17 APR ec Oliver Tambo District Municipality gp City of Johannesburg Metropolitan… kz Uthukela District Municipality gp Ekurhuleni Metropolitan Municipality gp City of Tshwane Metropolitan… Target Total OVC_HIVSTAT_POS fs Lejweleputswa District Municipality lp Capricorn District Municipality kz Zululand District Municipality nw Bojanala Platinum District… mp Ehlanzeni District Municipality wc City of Cape Town Metropolitan… kz Ugu District Municipality lp Mopani District Municipality gp Sedibeng District Municipality Proxy Linkage to ART Total OVC_HIVSTAT_ART mp Gert Sibande District Municipality kz uMgungundlovu District Municipality ec Buffalo City Metropolitan Municipality kz King Cetshwayo District Municipality nw Dr Kenneth Kaunda District… fs Thabo Mofutsanyane District… kz eThekwini Metropolitan Municipality kz Harry Gwala District Municipality mp Nkangala District Municipality ec Amathole District Municipality nw Ngaka Modiri Molema District… 0% 20% 40% 60% 80% 100% 120% 17
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