(DIAGNOSED_NAT) Percentage of people living with HIV who know their HIV status

Export Indicator

Percentage of people living with HIV who know their HIV status
Rationale

Diagnosed is the first 90 of the global targets. To ensure people living with HIV receive the care and treatment required to live healthy, productive lives, and to reduce the chance of transmitting HIV, it is critical that they know their status. In many countries, targeting testing and counselling at locations and populations with the highest HIV burden will be the most efficient way to reach people living with HIV and ensure they are aware of their status. This indicator captures the efficacy and coverage of HIV testing interventions. 

This indicator is harmonized with GAM indicator “People living with HIV who know their HIV status.”

Numerator

Number who know their HIV status

Denominator

Number of people living with HIV (PLHIV Estimate)

Method of measurement

How to collect:

There are multiple methods to estimate the number of people living with HIV who know their status.

  • Case-based surveillance: In countries with well-functioning HIV reporting systems, the number of people diagnosed can be estimated from national case-based data. The number of deaths among PLHIV must be subtracted from the cumulative number diagnosed to calculate the number of people living with HIV who know their status.
  • Survey-based reporting:
    • Certain population-based surveys include questions about known HV status. Although this information may be subject to under-reporting bias, when combined with survey-related HIV testing it can provide an estimate of known status among survey respondents.
    • Many population-based surveys include questions on HIV testing history. These questions can provide a range for the proportion of PLHIV with known status. The percentage of people living with HIV in the survey who have been tested in the past 12 months and received the results provides the upper range of known status (there will be a small proportion equal to the annual incidence rate – less than 2% in most cases – of people who might have converted in the 12 months after being tested). The percentage of people living with HIV in the survey who have ever been tested and received the results provides the lower range of known status.
    • When using survey-based methods, note that:
      • Household surveys are often restricted to respondents of reproductive age (15– 49), and so may not be representative of people living with HIV <15 years and >49 years.
      • Because household surveys are typically only done every five years, data from non-recent surveys may not reflect current levels of testing coverage.

Reporting levelNational and Sub-national: Data should be entered for all SNUs, regardless of PEPFAR- funded support for these geographical areas; so that the total of the sub-national number should equal the total number of national number.

Measurement frequency

Reporting frequency: Annually

Disaggregation

Further information

Indicator changes (MER 2.0 v2.3 to v2.4): None

Data entered byThis data should be entered in DATIM by the USG country team.

Guiding narrative questions:

  1. Describe how the number of individuals diagnosed was calculated or estimated.