12 month programme retention rate
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: 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
Number of individuals who picked up their ART treatment 12 months (and every 12 months thereafter) after initiating it
Total number of individuals initiating treatment in a given calendar year.
Geographic location: N/A
Pregnancy status: N/A
Time period: N/A
Type of orphan: N/A
Vulnerability status: N/A
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.