South Sudan

Global Fund NFM-3 Project Implementation

TB/HIV PROGRESS REVIEW MEETING

18th to 20th May 2022

GREATER ADMINISTRATION
AREA , GPAA]
Dr LUKA Nganloky D/G SMOH,
GPAA]
Overview of Presentation

1. State Overview
2. TB-HIV implementing partners in the state
3. HIV service availability per County
4. HIV status in the State (Cumulative Jan-Dec 2021)
5. Update on Performance indicators per facility (Jan-Dec 2021)
6. 1st 95- HTS performance in the State ( Jan- Dec 2021)
7. 2nd 95-ART performance in the State ( Jan- Dec 2021)
8. 3rd 95- Viral Suppression performance in State (Jan- Dec 2021)
9. HIV Program Achievement in the State
10. Best Practices and Lessons learnt
11. Gaps and Challenges during Jan-Dec 2021
12. TB Treatment Outcome
13. Opportunities in the State
14. Recommendations and way forward
State Overview ( GPAA)

• This is one of the Administrative areas of South Sudan within the

Upper Nile Region
• Pibor is its Capital .
• It was formerly called Boma State which has latterly come back
to GPAA.
• GPAA has a total projected population of 214,676 people with
the total area of 41,962km2 - 16,202sqmi.
• It consists of the following ethnic groups: Murle, Anywaa, Jie and
Kachipo
• It consists major Two counties according the police of NGOS, but
in our Administration we therefor , we are have 7 in numbers .
TB-HIV Implementing Partners in the State

Name of IP County of Presence Area(s) of Support Facilities Supported by IP

Live Well Pibor/Pochalla General health services Pibor PHCC/Pochlla county
hospital
Medair Pibor General health services Lekuangole PHCU and
Gumuruk PHCU
UNH Pibor General health services Lekuangole PHCU and
Gumuruk PHCU
Care International Jebel Boma General health services Boma Hospital
HIV Service Availability Per County

Name of County HTS PMTCT EID ART VL HIV/TB TB

Pibor 657 2407 NO Service 62 NO 3 27

Pochalla 360 262 NO Service 78 NO Service YES NO Service

Jebel Boma NO NO Service NO Service NO Service NO Service NO Service NO

Service Service
Updates on Performance Indicators Per Facility (Jan – Dec 2021)

Name of Facility HTS_tested HTS_pos ART VL PMTCT EID TB IP

PIBOR PHCC 657 49 49 NO 2407 NO 27 LIVWE
Service Service LL
POCHALLA 360 61 61 NO 262 NO NO LIVEW
Service Service Service ELL
JEBEL BOMA NO Service NO NO NO NO NO NO CARE
Service Service Service Service Service Service INTER
NATIO
N
HIV Status in the State (Cumulative Jan-Dec 2021)

NAME OF COUNTY PEOPLE TESTED ON ART VIRALLY DEATHS

TESTED POSITIVE SUPPRESSED

PIBOR 657 49 49 0 0
POCHALLA 360 61 61 0 0

• HIV prevalence (Dec 2021)

• TB prevalence (Dec 2021)
• [TABLE] Cumulative number per counties:
• People tested (Jan-Dec 2021)
• People who tested positive (Jan-Dec 2021)
• PLHIV on ART (Jan-Dec 2021)
• Clients on ART with viral suppression (Jan-Dec 2021)
• PLHIV with TB co-infection (Jan-Dec 2021)
• Deaths (AIDS-related, Jan-Dec 2021)
Updates on Performance Indicators Per Facility (Jan – Mar 2022)

Name of Facility HTS_tested HTS_pos ART VL PMTCT EID TB IP

PIBOR PHCC 2402 13 13 NO 1255 NO 21 LIVEW
Service Service ELL
POCHALLA PHCC 138 18 18 NO 213 NO NO LIVEW
Service Service Service WELL
JEBEL BOMA HOSPITAL NO Service NO NO NO NO NO NO CARE
Service Service Service Service Service Service INTER
NATIO
N
1st 95 - HTS Performance in the State (Jan-Dec 2021)
2nd 95 - ART Performance in the State (Jan-Dec 2021)

•
3rd 95 – Viral Suppression Performance in State (Jan-Dec 2021)

NILE
HIV Program Achievement in the State

• Individuals have been made aware on important of HIV testing.

• Pibor PHCC provided TB and HIV services after long time out of
services.
• Positive people are taking ART regularly and growing healthy.
• Profound knowledge of HIV have been acquired and spread through out
the State via BHI.
Best Practices and Lessons Learned

BEST PRACTICES
• Honorable minister for health had fully committed him self to support TB and services.
• Awareness in the community through BHI had raised HIV testing yield .
• Provision of condoms.
• State ministry of health is build good relationship with private sector and health
partners .
Gaps and challenges during Jan-Dec 2021

• Delayed of drugs, supplies and commodities requests from NMOH

• Low coverage for HIV and TB services in the GPAA health facilities
• Inadequate incentive to motivate the staffs.
• Lack of transport for tracking clients lost to follow up.
• Training for health staff working under the TB and HIV programme .
TB Treatment outcome
Block 2: TB/HIV activities (same quarter analysed as Block 1)  
No. patients tested for No. patients on ARV treatment No. patients on
No. patients HIV-positive(a) 4
HIV 4 5
CPT 6
 
All TB cases        

Block 3: TB treatment outcomes of HIV-positive patients

Treatment outcomes
Total number Total number
of HIV-positive Not evaluated for
Cured Treatment Died Treatmen Lost to evaluate
Type of case TB patients completed t failed 2 follow-up outcomes:
Block 2, d
Column (a) (1) (3) (sum of 1 to 5)
(2) (4) (5) (6)
All TB cases                

Block 4: Treatment outcomes for TB cases in children (0-14 years)

Treatment outcomes
Total number
Total number of
Treatment Treatment Lost to Not evaluated for
HIV-positive TB Cured Died
Type of case completed failed 2 follow-up evaluated outcomes:
patients Block 2,
Column (a) (1) (3)
(2) (4) (5) (6) (sum of 1 to 5)

All TB cases                
TB Laboratories Activities

Light Microscopy LED Microscopy GeneXpert testing

• Slides Done • Slides Done Tests Done

• Pos • Pos
• Neg • Neg
• Scanty • Scanty
• Invalid • Invalid
TB Case Notification
Block 1: All TB cases registered during the New Relapse Previously treated Previous treatment Total
quarterb (excluding relapse) history unknown
Pulmonary, bacteriologically confirmed        
Pulmonary, clinically diagnosed 25        25

Extrapulmonary, bacteriologically confirmed or 2        2

clinically diagnosed

Block 2. All new and relapse cases (bacteriologically confirmed or clinically diagnosed) registered during the quarter by age group and sex 
  0-4 5-14 15-24 25-34 35-44 45-54 55-64 >65 Total (New & Relapses)
Male                
Female                

Block 3: Laboratory diagnostic activity

Patients with presumptive TB Patients with presumptive TB
undergoing bacteriological with positive bacteriological
examination examination result

Block 4: TB/HIV activities (all new and relapse TB cases registered during the quarter)
Patients tested for HIV at the time of TB diagnosis
HIV-positive TB patients HIV-positive TB patients
or with known HIV statusd at the time of TB HIV-positive TB patients
on ART on CPT
diagnosis
       

Block 5. TB/HIV co-infected patients among new and relapse registered during the quarter by age group and sex 
Total (New &
0-4 5-14 15-24 25-34 35-44 45-54 55-64 >65
  Relapses)
Male                  
Female                  
TB Treatment outcome
Number of new bacteriologically confirmed Sputum smear microscopy Sputum smear microscopy Sputum Conversion Rate
pulmonary TB cases registered in the quarter recorded not done at either 2 or 3 Conversion at:
above2 months e x100
(a) (b) 2 months 3 months a
(c) (d)

       

Total converted at 2 and 3 months (e):

Block 1: TB treatment outcomes

Treatment outcomes
Total number
Total number of
Treatment Treatment Lost to Not evaluated for
patients Cured Died
Type of case completed failed follow-up evaluated
2 outcomes:
registered
during quarter * (1) (3)
(2) (4) (5) (6) (sum of 1 to 5)

New bacteriologically confirmed TB

             
cases

New cases of TB clinically diagnosed

(smear-negative, smear not done and  27    27         27
extrapulmonary TB)

Relapse              
Treatment after failure              
Treatment after lost to follow-up              
Other previously treated 3              
Opportunities in the State

• Through youth regular drama, women group meeting and community gatherings
• Through teaching at Schools and churches.
• Support from the state government on HIV and TB services in GPAA.
Recommendations and way forward

• Provision of proper and efficient training required for the staffs and even the public
community.
• Supervision and effective Support especially to Pochalla and Jebel Boma so that people
can get more knowledge about data collection and implementation; which can make
them well versed in DHIS2.
• There is need for proper coordination of the government with the UNDP and CORDAID
as in support to ensure that there is proper training, drugs supply and supervision are
carry out to include all health facilities as most of staffs are not well trained and familiar
with many tools regarding recording and documentation.
• Incentive payment for health facilities staff in GPAA, should be look on as it affecting
staff under the government employment pay sheet.
Thank you All !

Questions? Comments?