CD4 cell count eligibility thresholds | ≤200 cells/µL period (2004–2010) | ≤350 cells/µL period (2011–2014) | ≤500 cells/µL period (2015) | Universal test and treat (CD4 cell count not required as an eligibility criteria | ||||||||||||||
Roll out of ART programme in SA | Introduction of TDF | Introduction of FDC | Introduction of DTG | |||||||||||||||
2004 | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2020 (end date: 29 February) | Total | |
Baseline ART | ||||||||||||||||||
First NRTI | ||||||||||||||||||
TDF | 74 | 136 | 215 | 416 | 715 | 871 | 4926 | 7515 | 8447 | 7537 | 8404 | 9658 | 11 241 | 12 311 | 10 228 | 12 463 | 2044 | 97 201 |
d4T | 662 | 1119 | 1758 | 2296 | 3990 | 5585 | 3295 | 672 | 539 | 243 | 69 | 35 | 22 | 11 | 5 | 0 | 3 | 20 304 |
AZT | 94 | 131 | 244 | 317 | 401 | 350 | 302 | 305 | 447 | 168 | 127 | 120 | 103 | 78 | 45 | 35 | 0 | 3267 |
ABC | 4 | 6 | 4 | 12 | 18 | 12 | 79 | 103 | 101 | 121 | 121 | 100 | 139 | 157 | 152 | 73 | 7 | 1209 |
Second NRTI | ||||||||||||||||||
FTC | 38 | 57 | 92 | 207 | 392 | 266 | 372 | 679 | 869 | 5157 | 7984 | 9397 | 10 938 | 12 476 | 10 195 | 12 396 | 1632 | 73 147 |
3TC | 786 | 1331 | 2120 | 2830 | 4723 | 6539 | 8228 | 7912 | 8658 | 2911 | 737 | 516 | 565 | 311 | 253 | 175 | 421 | 49 016 |
ddI | 9 | 4 | 10 | 4 | 9 | 11 | 2 | 4 | 4 | 1 | 1 | 1 | 1 | 1 | 0 | 0 | 1 | 63 |
NNRTI | ||||||||||||||||||
EFV | 720 | 1174 | 1773 | 2313 | 3808 | 4894 | 6488 | 6810 | 7990 | 7528 | 8476 | 9745 | 11 384 | 12 244 | 10 276 | 12 489 | 1605 | 109 717 |
NVP | 90 | 186 | 407 | 665 | 1217 | 1764 | 1943 | 1648 | 1424 | 428 | 168 | 104 | 44 | 39 | 42 | 11 | 2 | 10 182 |
InSTI | ||||||||||||||||||
DTG | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 265 | 43 | 36 | 446 | 792 |
RAL | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 1 | 1 | 0 | 4 |
PIs | ||||||||||||||||||
LPV/r | 21 | 30 | 39 | 56 | 93 | 129 | 145 | 125 | 114 | 114 | 75 | 61 | 73 | 72 | 81 | 28 | 1 | 1257 |
ATV/r | 0 | 0 | 3 | 1 | 1 | 1 | 1 | 0 | 0 | 0 | 0 | 2 | 2 | 12 | 5 | 6 | 0 | 34 |
RTV* | 3 | 2 | 1 | 6 | 4 | 29 | 23 | 12 | 5 | 0 | 1 | 0 | 2 | 1 | 1 | 0 | 0 | 90 |
*There is a possibility of misreporting on TIER.Net with RTV data. Complexity of combination with ATV as well as double dosing for tuberculosis. No patient is given RTV alone if adult.
ABC, abacavir; ART, antiretroviral therapy; ATV, ritonavir-boosted atazanavir; AZT, zidovudine; ddI, didanosine; d4T, stavudine; DTG, dolutegravir; EFV, efavirenz; FDC, fixed-dose combination; FTC, emtricitabine; InSTI, integrase strand transfer inhibitor; LPV/r, ritonavir-boosted lopinavir; NNRTI, non-nucleoside reverse transcriptase inhibitor; NRTI, nucleoside reverse transcriptase inhibitor; NVP, nevirapine; PI, protease inhibitor; RAL, raltegravir; RTV, ritonavir; SA, South Africa; 3TC, lamivudine; TDF, tenofovir.