Coverage of HIV prevention programmes among key populations (A–D)

Export Indicator

Coverage of HIV prevention programmes: percentage of people in a key population reporting having received a combined set of HIV prevention interventions
What it measures

This indicator is divided into four subindicators:

A. Coverage of HIV prevention programmes among sex workers

B. Coverage of HIV prevention programmes among men who have sex with men

C. Coverage of HIV prevention programmes among people who inject drugs

D. Coverage of HIV prevention programmes among transgender people

What it measures

People in key populations who received at least two HIV prevention interventions in the past three months

Rationale

Successfully confronting the HIV epidemic requires combining preventive behaviour and antiretroviral therapy. Coverage with evidence-informed prevention programming is a critical component of the response, the importance of which is reflected in the UNAIDS Strategy.

Numerator

Number of people in a key population who report receiving two or more of the prevention interventions listed

Denominator

Number of people in a key population responding

Calculation

Numerator/denominator

Method of measurement

There are two ways to measure this indicator. We encourage reporting both programme and survey data.

Behavioural surveillance or other special surveys

Percentage of respondents who report receiving at least two of the following HIV prevention services from an NGO, health-care provider or other sources: 

  • In the past three months, have you been given condoms and lubricant? (for example, through an outreach service, drop-in centre or sexual health clinic) 
  • In the past three months, have you received counselling on condom use and safe sex? (for example, through an outreach service, drop-in centre or sexual health clinic) 
  • Have you been tested for sexually transmitted infections in the past three months? (sex workers, transgender people and men who have sex with men) 
  • Have you received new, clean needles or syringes in the past three months? (people who inject drugs)

Programme data

Number of sex workers reached with individual and/or small group–level HIV prevention interventions designed for the target population and number of condoms distributed to sex workers

Number of men who have sex with men or transgender people reached with individual and/or small group–level HIV prevention interventions designed for the target population and number of condoms + lubricant distributed to men who have sex with men

Number of people who inject drugs reached with individual and/or small group–level HIV prevention interventions designed for the target population and number of needles or syringes distributed to people who inject drugs

Plus, [3.7.1] Number of service provision sites dedicated to key populations per administrative area

Measurement frequency

Annual

Disaggregation
  • For surveys: age (<25 and 25+ years) and gender (male, female and transgender)
  • For programme data: none
Additional information requested

Service provision sites designed specifically for one or more key populations demonstrate commitment to deliver context-sensitive services to communities that are often stigmatized. Please provide the total number of such sites and the total number of first, (e.g., state/province/oblast,) or second, (e.g., county/district,) level administrative areas that have at least one service and the total number in the country. For example, Country A reports 10 needle-syringe programmes across 5 provinces. There are 7 provinces in Country A. If known, please report if the site is operated by the national programme (government) or the community (civil society or NGO)

Strengths and weaknesses

Survey data provide the opportunity to measure the uptake of multiple intervention services by individuals. This indicator shortens the reference period because populations must access services regularly and risky behaviour must be regular. Weaknesses associated with survey data relate to any sampling or response bias and the limited geographical coverage of the information.

Programme data provide a national picture to the extent that programmes offer services nationally. Programme data reflect a national commitment to deliver services to specified key population communities. Programme data do not reflect well the individuals served. Data cannot typically be de-duplicated. Further, analysis of two separate programme data sets can only be considered ecologically. That is, we can see the number of people contacted by programmes and we can see the number of condoms provided by programmes but we cannot know who among the people contacted received condoms.

Further information

Tool to set and monitor targets for HIV prevention, diagnosis, treatment and care for key populations: supplement to the 2014 consolidated guidelines for HIV prevention, diagnosis, treatment and care for key populations. Geneva: World Health Organization; 2015 (http://www.who.int/hiv/ pub/toolkits/kpp-monitoring-tools/en).

UNAIDS, WHO, Measure Evaluation, CDC, USAID, ICASO, UNODC. Operational Guidelines for Monitoring and Evaluation of HIV Programmes for People who Inject Drugs. https://www.measureevaluation.org/resources/tools/hiv-aids/operational-g...