Availability of free condoms at TB services

Export Indicator

Percent of TB facilities where free condom distribution is practised and condoms are available
What it measures

To monitor commitment and capacity of programmes at facility level to promote HIV prevention among TB patients

Rationale
Numerator

Total number of TB facilities (any health facility where TB patients are managed) where free condoms are available (in stock)

Denominator

Total number of TB facilities evaluated.* *Also give the total number of TB facilities nationally to indicate the proportion evaluated.

Calculation
Method of measurement

Ideally, data on this indicator should be collected on all supervisory visits made by the district TB manager and thus be available for all TB facilities. The indicator requires collection of information only on the presence of condoms at TB facilities, not on the number of condoms distributed.

Measurement frequency

Annual

Disaggregation

Age group:

Education: N/A

Gender: N/A

Geographic location: N/A

Pregnancy status: N/A

Sector: N/A

Target: 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

Condoms are a simple, cheap and effective tool for preventing HIV transmission and as such should be made freely available for use by all groups at risk of HIV infection, including TB patients, especially in settings where the HIV epidemic is driving the TB epidemic. Availability of condoms at a facility is simple to measure and gives some indication of commitment at facility level to HIV prevention among TB patients. The absence of free condoms may indicate a failure of distribution either locally or nationally or a lack of commitment at facility level to maximizing HIV prevention opportunities. However, the indicator will give no information on why condoms are not available: the reasons for this will require further investigation. The availability of free condoms at a facility gives no indication of how many are distributed or whether the condoms are used appropriately or HIV infections are prevented. It provides no information about the ability of health care workers to encourage safe sexual or other risk practices among TB patients.

Further information