The number of new HIV patients starting ART in HAPG was 164. This number is composed of 19 patients that transferred in on ART from other Wellness Clinics in the area.
Another 25 patients returned to HAPG from the LM PHC Wellness clinic. These are patients who were in HAPG prior to 2009. We had 9 patients that transferred out of HAPG - this mainly consists of patients from other communities who are very sick and are brought to HAPG by their family members residing in BelaBela. Once these patients are stable they are transferred out to their home clinics. The majority of these patients come from Mpumalanga. Of the patients that started ART in HAPG, 20 patients were deceased while being on ART. Most of these patients came to consult in fairly advanced stages of the disease which proved to be too late. Ten patients were lost in follow up. Three of these patients came back early January 2014.
The number of children starting ART in HAPG was 15 in total. No children passed away or transferred out from HAPG. There were 4 children who transferred in on ART that came from the paediatric ward in the hospital and 3 children transferred back from the LM PHC Wellness clinic who were transferred in 2009 but were experiencing serious problems.
HAPG has 154 Pre-ART patients on the register including 6 children. Some patients were due for ART at the end of the year but had not yet started treatment (17). Some patients had opened files but were not ready to take their CD4 count tests, while 11 patients died prior to starting ART. For this last group of patients the same reason applies as above, i.e. coming too late to consult and dying before being able to start treatment.
The total population of the HAPG Wellness Clinic is 510 patients including children.
Patient outcomes for ART population in HAPG.
The ART population in HAPG nearly doubled over the past year. In 2012, we closed the year with 169 adult patients on ART. The CD4 progress of the patients is fairly good. There is a drop in the CD4 count in women due to the fact that several patients transferring back from the clinic had very high VL values which causes CD4 to drop. Those patients have been put on new regimens and are doing well.
As with the CD4 count, the increase in the VL is also due to the few patients returning from the LM PHC Wellness clinic with very high VL values and two patients from HAPG who developed resistance.
The CD4 percentage in female children is relatively stable while the percentage for the male children shows more fluctuation. This is to be seen as a consequence of male children not being as adherent to their treatment as the female children. At the end of the year several children will be moving to the adult group. As children grow older their CD4s start dropping and come closer to the levels of CD4 counts in adults.
The log viral load in children also shows a similar picture as the CD4 percentage, with male children having higher fluctuations in their VL load counts. We also re-registered a male and a female child with high viral load values transferring back from the LM PHC Wellness.
The work presented in the HAPG program is of good quality and can be assigned to the commitment and passion HAPG employees display while going about their daily tasks.
A great “thank you” is due to all who contributed positively to the above outcomes.