Overview

1
AIDS EMPOWERMENT and TREATMENT INTERNATIONAL
(AIDSETI) NETWORKExpanding Access to AIDS
Treatment in Africa and the CaribbeanF
Ndayishimiye1,2, M J Mbuzenakamwe2, E Ouedraoga3,
J Zinsou4, P Niamba5, M Touhon6, M Zemene7, S
Mutetwa8 , A Herman9 T Sallah10, R Machekano11,
A Sall1, R Vaurs1, and DM Israelski 1,11,12
1AIDSETI Network, Washington DC, USA 2ANSS
Bujumbura, Burundi 3Association Africaine de
Solidarite, Bujumbura, Burundi 4ALAVI,
Ouagadougou, Burkina Faso 5CICDoc,
Ouagadougou, Burkina Faso 6Ruban Rouge, Abidjan,
Cote DIvoire 7Mekdim, Addis Abeba, Ethiopia
8The centre, Harare, Zimbabwe 9WAMATA, Dar es
Salam, Tanzania 10Espoir Vie, Lome, Togo 11San
Mateo Medical Center, California, USA 12Stanford
University, California, USA

• Overview
• Association Driven Care Treatment (ADCT) has
  been proposed as a model for providing affordable
  and quality HIV/AIDS care in resource limited
  settings
• Implementation of the ADCT model in resource poor
  countries demonstrates it is a feasible and
  replicable approach

• Quality Treatment
• Education psychosocial support
• VCT and Prevention of MTCT
• Monitoring of disease progression
• Prophylaxis Treatment of OI
• ARV treatment adherence support
• Screening and Treatment of STIs

Expansion Plan The Networks three year
development plan will provide empirical evidence
for the ADCT model as a sustainable and scalable
strategy in resource-limited settings
Three-year program targets Enrollment up
to 300,000 patients ARV treatment for 150,000
patients

• Core model components
• High quality treatment systems
• Monitoring evaluation systems
• Web based database systems
• Model is implementation ready
• fully developed operational training
  manuals
• Financial treatment guidelines
• Field tested database able to collect
  cross-country data

Study purpose To determine the feasibility and
replicability of the ADCT model in resource poor
settings To describe core components that ensure
the ADCT model is sustainable and scalable

• Results
• 59 female 41 male
• All patients (N3039) participated in one
  training or support program
• 689 (23) were actively on ARV treatment
• 703 (23) patients had ever received ARV
  treatment
• 451 (64) had CD4 lt 200 (N703)

Conclusions Initial data indicates AIDSETI
Network is a feasible and replicable model for
expanding access to quality AIDS care and
treatment

• Data collection
• As part of routine intake procedures, all
  patients consented to collection of confidential
  data in order to receive care and treatment at
  the association
• Data Sources
• Patient medical intake form
• Cross country patient database system
• Monitoring evaluation systems

• Methods
• Data were available from18 of the 22 network
  associations (N3039)
• Patients were from one of 12 different
  sub-Saharan African or Caribbean countries
• All data were unlinked to patient identifiers

Patients Ever Received Prophylaxis (N3039)
ABSTRACT 665, SESSION ID 53.15 , CATEGORY 6 -
Treatment in resource-limited setting.
Cross-reference with ABSTRACT 658