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case_images: The percentage of eligible patients starting ART by health facility type and province.
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case_images: F1
case_images: Analysis of routine data comparing the previous day hospital vertical sites with newer and smaller integrated sites shows that a greater percentage of local PLHIV managed to start ART, and that the percentage of patients initiating ART in less than 90 days (from registration at a health unit) was significantly greater in integrated sites than in vertical day hospitals (see Figure 1).
case_images: Province-level PHC laboratory system strengthened using HIV-specific resources.
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case_images: F2
case_images: The day hospital model did not include separate laboratories, but the MOH-managed provincial lab network has been strengthened via rehabilitation of laboratory facilities, provision of additional equipment, and training to support dispersed sites providing ART services (see Figure 2).
case_images: The number of testing sites and patients tested for HIV (2002-2007).
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case_images: F3
case_images: With integrated CT, more than 100,000 were tested in 103 sites in 2007 alone, including TB services (Figure 3).
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case_images: The number of TB patients tested for HIV per month before/after integration.
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case_images: F4
case_images: Clinicians were trained to ensure that HIV patients were also routinely tested for TB and referred, using new protocols and modified paper registries. (See Figure 4 for testing increases in one facility.) By December 2008, more than 90% of TB patients had been tested for HIV at 28 facilities with TB services, and 65% of eligible TB patients had initiated ART.
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case_images: Number of HIV-positive women referred from PMTCT/ANC and registered for HIV care <30 days post-test. RR (relative risk) 2.53 for health facility with ANC vs health facility w/o ANC (1.88, 3.40); p < 0.001.
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case_images: F5
case_images: Figure 5 compares sites in 2006 offering ART but not ANC (two of the first day hospitals), and sites where both ART and ANC are offered in the same health facility. The two integrated sites referenced in Figure 5 are similar to the many other integrated sites in the two provinces.
case_images: PMC2828398_09