Number of individuals who received HIV care and support services that are receiving treatment for TB disease (subset of all care & support) (Totals for FY2005-FY2008)

Number of Individuals who Received Care & Support Services that are Receiving Treatment for TB Disease (Subset of All Care & Support)* 1
	FY2005	FY2006	FY2007	FY2008
Botswana 2	26,600	5,900	6,300	2,900
Côte d’Ivoire	1,400 3	1,500	2,700	3,900
Ethiopia	33,000	11,000 5	11,600 5	26,900
Guyana	200	300	200	200
Haiti	1,800	1,000	1,600	1,600
Kenya	63,200	59,800 6	57,900	40,000
Mozambique	0	1,700	5,900	7,000
Namibia	14,300	3,000 6	12,000	7,600
Nigeria	33,200	6,500 6	19,100	33,600
Rwanda	1,000	2,400	2,500	2,900
South Africa	153,400 4	176,800	208,800	212,300
Tanzania	400	6,200 7	8,100	15,400
Uganda	18,800	21,200	16,400	14,400
Vietnam	300	1,600	2,500	4,200
Zambia	21,300	2,700 8	12,000	22,500
Total	368,900	301,600	367,600	395,400

^*Note: Numbers reflect totals of downstream and upstream results.

¹ Care and Support includes all clinic-based and home/community-based activities aimed at optimizing quality of life of HIV-infected (diagnosed or presumed) clients and their families throughout the continuum of illness by means of symptom diagnosis and relief; psychological and spiritual support; clinical monitoring and management of opportunistic infections including TB and malaria and other HIV/AIDS-related complications; culturally-appropriate end-of-life care; social and material support such as nutrition support, legal aid, and housing; and training and support for caregivers.

² Botswana results are attributed to the National HIV Program. Beginning FY2006, USG downstream contributions in Botswana are embedded in the upstream numbers, following a consensus reached between the USG and the Government of Botswana to report single upstream figures for each relevant indicator. Botswana experienced expansion of services to the community through strengthening of civil society participation leading to increased coverage and linkages to the National TB Program, resulting in significant increases over last year.

³ Reliable data to capture non-duplicated upstream results are not yet available in C?te d?Ivoire. The acute exacerbation of the political crisis between November 2004 and March 2005 delayed the establishment of effective national planning, coordination and monitoring and evaluation systems. Although PEPFAR supports systems-strengthening, we are unable to estimate the number of people reached through upstream support and the total number of people reached is likely an underestimate. The PEPFAR team is working with the national authorities and development partners to obtain national data.

⁴ As South Africa invested in improved data quality efforts, there was less overlap among partners which reduced duplication in results counted by multiple partners. The decline in total number of people receiving palliative care/basic health care and support services in South Africa from FY04 to FY05 is due largely to improved data quality.

⁵ In 2005 and 2006, Ethiopia's reported number of HIV-infected clients receiving care/treatment for TB disease dropped by 67 percent compared to the previous year's report. This was primarily due to underreporting. In 2005 partners were able to collect information directly from the delivery sites. In 2006 National numbers were reported directly by the MoH and the USG team reports that these numbers are greatly underestimated. The team is currently working with the MoH and other USG partners to collect the underreported information and improve the reporting mechanism.

⁶ Introduction to data quality measures in 2006 resulted in reduced number of people reported as receiving TB treatment in 2006 compared to 2005.

⁷ Tanzania noted significant increases in the number of HIV-infected clients receiving treatment for TB disease due to improvements in both referral systems and monitoring tools.

⁸ In Zambia, the number of HIV-infected clients receiving care/treatment for TB disease dropped by 88 percent compared to the previous year's report. The drop is due to a change in how this indicator is reported. The mission no longer counts home-based care clients receiving DOTS at the community level. Currently, only clients receiving TB treatment at the facility level are included due to reliability of data.