Automated Insights
Executive Narrative

Kaduna achieved 94.9% PBS coverage but VL Coverage remains 5.8 points below target (89.2%). TX_ML fell to 3.4% (from 3.7%), driven by strengthened tracing across Kaduna North and Chikun LGAs.

Prioritize focused clinical mentorship at the 5 flagged facilities in Sabon-Gari and Zaria GH clusters, and pair with sample transport audits before the next MER cycle to close the VL coverage gap.

Key Achievements

Indicators meeting or exceeding target

  • Current on ART
    150,714 vs target 156500 (+1.2% MoM)
  • Viral Suppression
    97.4% vs target 95% (+0.3% MoM)
  • PBS Coverage
    95.6% vs target 95% (+0.7% MoM)
  • TX_ML Rate (IIT)
    2.1% vs target 3% (-12.5% MoM)
  • Return to Treatment
    1,284 vs target 1200 (+13.7% MoM)

Performance Gaps

Indicators requiring corrective action

  • New on ART (month)
    3,842 — target 4100
  • Viral Load Coverage
    93.8% — target 95%
  • PMTCT Suppression
    89.2% — target 95%

Priority Actions — Next Reporting Cycle

Concrete steps for MEL and clinical teams

  1. Kaduna: Convene state-level performance review; target PMTCT and VL Coverage catch-up plan within 2 weeks.
  2. Igabi GH 6 (Kaduna): Emergency SIMS mentorship visit; validate TX_ML line list and MMD dispensing register.
  3. Sabon-Gari GH 5 (Kaduna): Emergency SIMS mentorship visit; validate TX_ML line list and MMD dispensing register.
  4. Sabon-Gari GH 1 (Kaduna): Emergency SIMS mentorship visit; validate TX_ML line list and MMD dispensing register.
  5. Roll out sample transport optimization to reduce VL turnaround from current baseline to ≤10 days.
  6. Escalate top 5 stock-out risks to LMCU; enforce redistribution across hubs.
  7. Publish best-practice brief from top-performing facilities for state-wide dissemination.
Top Alerts
5

  • 5 facilities in Kaduna below 90% VL Coverage — Sabon-Gari and Zaria clusters.

  • PMTCT sites require urgent clinical mentorship (Sabon-Gari PHC, Zaria GH).

  • 3 LGAs (Zaria, Sabon-Gari, Chikun) show rising TX_ML trend over the last 3 months.

  • Sample rejection rate elevated at 4.2% (target ≤2%) — driven by 2 hub labs.

  • PBS coverage 94.9% — near target for the second consecutive quarter.

States Exceeding Targets

Recognition & replication

  • No states currently exceeding all pillar targets.

Facilities Requiring Urgent Mentorship

Top composite-risk sites

  • Igabi GH 6Kaduna
  • Sabon-Gari GH 5Kaduna
  • Sabon-Gari GH 1Kaduna
  • Igabi GH 4Kaduna
  • Kajuru GH 2Kaduna
  • Sabon-Gari Clinic 2Kaduna