ART At Cost Program

HIV care and Support of SQH network

With the support of NAP

ART Program (At cost)

A new Innovative and cost effective way to

increase accessibility and sustainability of ART

for PHAs

Health services with..Payment by clientStandard services

Partnership between PSI and SQH network

Product supplyTechnical support

Improved healthPromoted Behavior

Malaria & STIs in 2003

TB in 2004

Pneumonia in 2008

PICT/ARTIn 2010

The partnership experience

FP in 2001

Accessibility

Affordability

Good retention

Proven Quality of care

HIV care package

Integrated services

Sustainability

Cost-effectiveness

Program

Rationale for ART at cost

ART Service Delivery Model

Technical support

Supportive supervision Drug Logistic MxMonitoring

Adherence follow up Quality Assurance MIS & Cohort Analysis

Treatment

Referral network

Monthly Reporting

Joint Activities Training Refresher TrainingPatient Selection Board

Specialist Hospital NAP NGO

Diagnosis Adherence counseling

Patient Selection criteria: ART naïve patients

• Eligibility for ART based on National Guidelines

• Social criteria

– being affordable to the price, and Lab cost

Non-ART naïve patients (25%)

• History of good adherence on d4T/3TC/NVP

• No evidence of clinical failure/immunological failure

• No Long Term Stavudine side effect

Patient Selection Board

1. Representative from AIDS/STD Team

2. Township Medical Officer/Representative

3. Sun Quality Health Provider

4. Representative of PHAs

Facilitated by PSI

Thank You