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Epidemiology poster session 6: Preventive intervention: Screening: testing
P1-S6.38 Interpretation of routine data from a youth friendly clinic in region F, Johannesburg
  1. S T Lalla-Edward
  1. Wits Institute for Sexual and Reproductive Health, HIV and related diseases, Johannesburg, South Africa

Abstract

Background The Wits Institute for Sexual and Reproductive Health, HIV and Related Diseases (WrHI)'s Youth Friendly Programme aims to engage with young people and make reproductive healthcare accessible and non-threatening. The team educates and informs young people about HIV and has specially sensitised nurses and counsellors for HIV and STI testing who are skilled in working with youth. This abstract discusses the HIV and STI outputs of the Youth Friendly clinic based on the quantitative reported data.

Methods Routine programme data submitted for the period October 2007–January 2011 was reviewed. Data was collated for the purposes of graphing, and calculating percentage difference and percentage change.

Results The target age for service delivery fluctuated in line with WHO and is currently 15–24 years. There was inconsistent reporting of headcounts for the review period. In 2007 the clinic saw 15–19 year olds (ration of 1 male: 2 female). From 2008 this changed to a ratio of 30% male: 70% female. The age threshold moved to 24 years and clinic population became 35% of 15–19 year olds: 65% of 20–24 year olds. Total number of HIV tests conducted was 10 132 (3515 males and 6617 females). 10% tested HIV positive. 77% (n=764) had blood draws for CD4 count testing. 722 results were received from the laboratory, of which 571 (79%) were collected by patients. 414 results were <200 cells/mm3 see Abstract P1-S6.38 Figure 1. All eligible patients were worked up for ARVs and referred to the initiation facilities. 5176 clients accessed STI services. In 2007 50% males and 50% females were treated for STIs. During the review period this changed to 44% males and 56% females. Both HIV testing and STI services were lowest from October 2007 to February 2008 and peaked from May 2009—to July 2009 and again from September 2009 to November 2009. The reported data did not distinguish between new and repeat clients for HIV testing and STI treatment.

Abstract P1-S6.38 Figure 1

Cascade of HIV service bundling for October 2007–January 2011.

Conclusion The increase in target population age led to more services being accessed by 20–24 year olds. Over time there was an increase in the number of people accessing HIV and STI testing and treatment. There was an increase in males accessing the clinic and a decrease in STI services required by males. Lab reporting of CD4 counts and CD4 results collection needs to be strengthened. Routing data needs to be collected on new and repeat clients as a means of addressing casual factors for STI acquisition.

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