The impact of an innovative combination HIV treatment and prevention programme on child HIV-free survival, health and school attendance through the HPTN 071 (PopART) trial
Population Effects of Antiretroviral Therapy on HIV Transmission [PopART] is a multi-centred cluster-randomized control trial looking at the effect of a combination of HIV prevention interventions (home-based HIV Counselling and Testing [HCT], screening for Tuberculosis [TB] and for Sexually Transmitted Infections (STIs), provision of condoms, referral for Voluntary Male Circumcision, offer of Antiretroviral Therapy irrespective of CD4 count and stage) on the incidence of HIV in 21 communities; 12 in Zambia and 9 in South Africa. Kheth’Impilo is the implementing partner for the provision of technical assistance to the clinical interventions of the trial in the facilities located in the PopART communities of the City of Cape Town [CCT] Metro health district.
- Cluster A communities: where universal testing and treatment are implemented: in the City of Cape Town (CCT) district Ikhwezi and Luvuyo communities in Eastern and Khayelitsha sub-districts
- Cluster B communities: where universal testing and ART as per provincial guidelines are offered: in the CCT district, Delft South and Kuyasa communities (Tygerberg and Khayelitsha SD);
- Cluster C communities: where standards of care are to be strengthened: in the CCT, Bloekombos and town 2 communities (Northern and Khayelitsha SD).
Funding Cycle: April 2013 to September 2017
Staff: As of October 2014, the project had 45 staff members (2 doctors, 5 nurses, 1 pharmacist and 37 others) and the project has expanded to 54 staff members at the end of the financial year (3 doctors, 6 nurses, 5 pharmacists and 40 others) .
During this financial year, 7 771 people had HIV Counselling and Testing (HCT) done with 554 testing positive for HIV, translating to 7.1% positivity rate, with a total of 2 626 starting on ART. The total number of adults and children Remaining In Care (RIC) at the end of the year is 32 313, with children contributing 3.9% (1 250 of the 32 313).
Dr Francois Louis
Dr Francois Louis