plans for analysis of usg emergency plan multi-country art program
DESCRIPTION
Plans for Analysis of USG Emergency Plan Multi-Country ART Program. John Aberle-Grasse CDC, Global AIDS Program U.S. Department of Health and Human Services. Analysis Proposal. - PowerPoint PPT PresentationTRANSCRIPT
Plans for Analysis of USG Emergency Plan Multi-Country
ART Program
John Aberle-Grasse CDC, Global AIDS Program
U.S. Department of Health and Human Services
Analysis Proposal
Analyze the “quantity” and “quality” of HIV care and treatment programs supported by the USG multi-country partners across the 15 Emergency Plan focus countries
Publish “simple” description of results in a prominent medical or public health journal, submitted in approximately 9-12 months
Analysis Rationale
The Emergency Plan ART program is very large and complex and should be monitored and evaluated to assess progress both in scale-up and service quality
Program success (and challenges) should be published to inform the medical and scientific community and the US public that supports the program
Analysis Rationale
Track 1.0 grantees (4) and the Department of Defense and Family Health International provide direct ART services across multiple countries to over 1/3 of patients in the Emergency Plan
This large (relatively) standardized ART program data and reporting represents a unique and significant opportunity to describe the extent and quality of HIV care and treatment being supported by the USG
Proposed Title and Authorship
Working title- Scale up of Antiretroviral therapy by Emergency Plan Multi-country
partners: 2004-2007
Authorship-Emergency Plan Multi-country ART
Partner and Agency Group
Analysis
Based on recommendations by the US Office of the Global AIDS Coordinator Adult Treatment Technical Workgroup for description of USG-funded HIV care and treatment programs
Describe services provided between Track 1.0 program start up in 2004 through Sept 30, 2007
Quantity of Program (scale up) Calculate quarterly- FY04Q4 to FY07Q4
Patients ever enrolled in HIV care Patients currently in HIV care Patients ever started on ARTPatients started on ART during quarterPatients currently on ARTFacilities providing ART
Analysis
Quality of Program- (cohort) Proportion alive and on ART (6, 12, 24 mos)
Including transfer in, excluding transfer outMedian difference in CD4 from startProportion with undetectable viral load (<400 cells/µl)Proportion started on 2nd line ART
Proportion not on ART (6, 12, 24 mos)DiedStoppedLost to follow up
Of those enrolled in HIV care, proportion on care at 12 months
Analysis
Administration of analysis
Task Force to guide and move analysisInclude participants from USG agencies and grantee partner groupsContact John Aberle-Grasse at this meeting, or phone, or email
The USG work group includes: CDC GAP: Tedd Ellerbrock, Laura Porter, Seymour Williams, Hong-Ha Truong, John Aberle-GrasseUSAID: Robert FerrisHRSA: Jin ParkDoD: To be determined
Activity Date Comments
Convene Task Force Sept 26
Data request sent to partners Oct 5 Quantity & Quality data
Quantity data due Nov 15 Partners submit (routine)
Data & analysis meeting Nov 16-21 Data problems & analysis
Report for Track 1.0 complete
Dec 15 Routine tables, etc
Quantity data analysis due Jan 12 Partners review
Quality data due Jan 12 Partners submit
Quality data analysis due Feb 15 Partners review
Full paper for review Mar 28 Partners review
Analysis- Proposed time table
Thoughts for Discussion
Do partners support this proposal?
Have quarterly data from Track 1.0 partners, is data for DoD and FHI readily available?
What disaggregation? (sex, age, country, partner, facility type)
How best do we “simplify” and present multi-country, multi-partner “quality” analysis?
Additional analysis of more detailed issues and data subsets
Other thoughts?
For more information contact:
John Aberle-Grasse CDC GAP 1600 Clifton Rd, MSE 30
Atlanta, GA 30333 404.639.6201 Email: [email protected]