90-90-90 and THIS: Making the connection and leveraging the system

1. Comprehensive Training to support the National Integrated TB/HIV Information System Implementation 90-90-90 and THIS: Making the connection and leveraging the system

2. 90-90-90 – Introduction(1) • NDoH is working towards achieving the 90-90-90 targets for TB and HIV by 2020 • Progress against the 90-90-90 targets are monitored through a set of cascades and tracer indicators • Targets are distributed from district level down to facility level • District and facility level targets are a disaggregation of the national level targets

3. 90-90-90 – HIV Cascade (1) Pre – Manually generated

4. 90-90-90 – HIV Cascade (2) Post – WebDHIS auto-generated

5. 90-90-90 – HIV Cascades (3)

6. 90-90-90 – TB Cascade

7. Comprehensive Training to support the National Integrated TB/HIV Information System Implementation Group Exercise #3 90-90-90

8. Scenarios – (45 min) • The purpose of the exercise is to support participants to establish a direct link between THIS line lists/reports, and the 90-90-90 cascades • This exercise will take the form of a discussion amongst all participants • Each of the three 90-90-90 pillars for both ART and TB will be discussed separately • 45 minutes (approx. 5 minutes per pillar and 15 minutes to conclude)

9. 90-90-90 Exercise (45 mins) Which TIER.Net line list or report addresses each of the targets for both TB/HIV? Remember TIER.Net is aligned with these 90-90-90 goals • PLHIV with known status/Lab tested for TB (1st 90) • 90% of all people living with HIV will know their HIV status • 90% of all people screened positive for TB are lab tested for TB • Example of relevant HIV and TB reports • PLHIV on ART/Initiated on TB treatment (2nd 90) • 90% of all people with diagnosed HIV infection will receive sustained antiretroviral therapy • 90% of all people lab diagnosed for TB that start treatment • Example of relevant TB and HIV line list and reports • PLHIV VL Suppressed/TB Treatment success (3rd 90) • 90% of all people receiving antiretroviral therapy will have viral suppression • 90% of all people who start TB treatment successfully complete treatment • Example of relevant TB and HIV line list and reports

10. Answers – 90-90-90 exercise (1) PLHIV with known status/Lab tested for TB (1st 90) • HIV Testing Services report, TB Identification report

11. Answers – 90-90-90 exercise (2) PLHIV on ART/Initiated TB Treatment (2nd 90) • ART Monthly report, DS-TB treatment initiation report • Waiting for ART list, Waiting for TB treatment list

12. Answers – 90-90-90 exercise (3) PLHIV VL Suppressed/TB Treatment success (3rd 90) • Quarterly ART report, DS-TB outcome report, Illustrated report • Viral load due list, Viral load cascade list, Two consecutive unsuppressed viral load list • DS-TB Discharge Sputa Required, TB Outstanding Outcomes List

13. Thank you