12 month programme retention rate

Export Indicator

Percentage of individuals still on treatment 12 months (and every 12 months thereafter) after initiating treatment.
What it measures

What it measures: This indicator measures the efficiency with which an ART programme is delivered in a given site, district or (national) programme (depending on the level at which the data are aggregated). Well run programmes in Africa have 12 month programme retention rates of 70 to 90%. 12 month programme retention rates of less than 70% would identify the need for urgent corrective action

Rationale

Rationale: One of the goals of any ART programme should be to provide treatment for life to those people entering the treatment programme. Defining a 12 month programme retention rate target could be used to improve programme performance

Numerator

Number of individuals who picked up their ART treatment 12 months (and every 12 months thereafter) after initiating it

Denominator

Total number of individuals initiating treatment in a given calendar year.

Calculation
Method of measurement
Measurement frequency
Disaggregation

Age group:

Education: N/A

Gender: N/A

Geographic location: N/A

Pregnancy status: N/A

Sector: N/A

Time period: N/A

Type of orphan: N/A

Vulnerability status: N/A

Explanation of the numerator
Explanation of the denominator
Strengths and weaknesses

The strength of this indicator is the prompt feedback it provides on programme efficiency. In addition to the national level, it is also useful at the programme level. The limitation is that it will not give any indication why patients have dropped out of the programme, such as death, discontinuation because of financial reasons, out of own choice, adverse events attributed to treatment, out migration, or perceived or real treatment failure. The quality of this indicator will depend on the quality of the patient registry in place.

Further information