Numerator Disaggregations:
Disaggregate Groups:
1. HTS Modality and Result by Age/Sex (Community-Level HTS Reporting) [Required]
Underlined modalities auto-populate for their respective parent indicators.
2. HTS Modality and Result by Age/Sex (Facility-Level HTS Reporting) [Required]
Underlined modalities auto-populate for their respective parent indicators.
3. Result by Key Population Type [Optional]
Disaggregates:
1. • Index (by Positive/Negative result) by: <1 F/M, 1-4 F/M, 5-9 F/M, 10-14 F/M, 15-19 F/M, 20-24 F/M, 25-29 F/M, 30-34 F/M, 35-39 F/M, 40-44 F/M, 45-49 F/M, 50+ F/M, Unknown Age F/M
• Mobile (by Positive/Negative result) by: <1 F/M, 1-4 F/M, 5-9 F/M, 10-14 F/M, 15-19 F/M, 20-24 F/M, 25-29 F/M, 30-34 F/M, 35-39 F/M, 40-44 F/M, 45-49 F/M, 50+ F/M, Unknown Age F/M
• VCT (by Positive/Negative result) by: <1 F/M, 1-4 F/M, 5-9 F/M, 10-14 F/M, 15-19 F/M, 20-24 F/M, 25-29 F/M, 30-34 F/M, 35-39 F/M, 40-44 F/M, 45-49 F/M, 50+ F/M, Unknown Age F/M
• Other Community Testing Platform (by Positive/Negative result) by: <1 F/M, 1-4 F/M, 5-9 F/M, 10-14 F/M, 15-19 F/M, 20-24 F/M, 25-29 F/M, 30-34 F/M, 35-39 F/M, 40-44 F/M, 45-49 F/M, 50+ F/M, Unknown Age F/M
2. • Index (by Positive/Negative result) by: <1 F/M, 1-4 F/M, 5-9 F/M, 10-14 F/M, 15-19 F/M, 20-24 F/M, 25-29 F/M, 30-34 F/M, 35-39 F/M, 40-44 F/M, 45-49 F/M, 50+ F/M, Unknown Age F/M
• Emergency (by Positive/Negative result) by: <1 F/M, 1-4 F/M, 5-9 F/M, 10-14 F/M, 15-19 F/M, 20-24 F/M, 25-29 F/M, 30-34 F/M, 35-39 F/M, 40-44 F/M, 45-49 F/M, 50+ F/M, Unknown Age F/M
• Inpatient (by Positive/Negative result) by: <1 F/M, 1-4 F/M, 5-9 F/M, 10-14 F/M, 15-19 F/M, 20-24 F/M, 25-29 F/M, 30-34 F/M, 35-39 F/M, 40-44 F/M, 45-49 F/M, 50+ F/M, Unknown Age F/M
• Malnutrition (by Positive/Negative result) by: <1 F/M, 1-4 F/M, 5-9 F/M, 10-14 F/M
• Pediatric <5 Clinic (by Positive/Negative result) by: <1 F/M, 1-4 F/M
• PMTCT [ANC1-Only] (by Positive/Negative result) by: <1 F, 1-4 F, 5-9 F, 10-14 F, 15-19 F, 20-24 F, 25-29 F, 30-34 F, 35-39 F, 40-44 F, 45-49 F, 50+ F, Unknown Age F
• PMTCT [Post ANC1: Pregnancy/L&D/BF] (by Positive/Negative result) by: <1 F, 1-4 F, 5-9 F, 10-14 F, 15-19 F, 20-24 F, 25-29 F, 30-34 F, 35-39 F, 40-44 F, 45-49 F, 50+ F, Unknown Age F
• STI (by Positive/Negative result) by: <1 F/M, 1-4 F/M, 5-9 F/M, 10-14 F/M, 15-19 F/M, 20-24 F/M, 25-29 F/M, 30-34 F/M, 35-39 F/M, 40-44 F/M, 45-49 F/M, 50+ F/M, Unknown Age F/M
• TB (by Positive/Negative result) by: <1 F/M, 1-4 F/M, 5-9 F/M, 10-14 F/M, 15-19 F/M, 20-24 F/M, 25-29 F/M, 30-34 F/M, 35-39 F/M, 40-44 F/M, 45-49 F/M, 50+ F/M, Unknown Age F/M
• VCT (by Positive/Negative result) by: <1 F/M, 1-4 F/M, 5-9 F/M, 10-14 F/M, 15-19 F/M, 20-24 F/M, 25-29 F/M, 30-34 F/M, 35-39 F/M, 40-44 F/M, 45-49 F/M, 50+ F/M, Unknown Age F/M • TB (Positive/Negative): <1, 1-9, 10-14 M, 10-14 F, 15-19 M, 15_19 F, 20-24 M, 20-24 F, 25-29 M, 25-29 F, 30-34 M, 30-34 F, 35-39 M, 35-39 F, 40-49 M, 40-49 F, 50+ M, 50+ F;
• VMMC (by Positive/Negative result) by: <1 M, 1-4 M, 5-9 M, 10-14 M, 15-19 M, 20-24 M, 25-29 M, 30-34 M, 35-39 M, 40-44 M, 45-49 M, 50+ M, Unknown Age M
• Other PITC (by Positive/Negative result) by: <1 F/M, 1-4 F/M, 5-9 F/M, 10-14 F/M, 15-19 F/M, 20-24 F/M, 25-29 F/M, 30-34 F/M, 35-39 F/M, 40-44 F/M, 45-49 F/M, 50+ F/M, Unknown Age F/M
3. • People who inject drugs (PWID) by Positive/Negative
• Men who have sex with men (MSM) by Positive/Negative
• Transgender people (TG) by Positive/Negative
• Female sex workers (FSW) by Positive/Negative
• People in prison and other closed settings by Positive/Negative
Denominator Disaggregations:
Disaggregate Groups:
N/A
Disaggregates:
N/A
Disaggregate descriptions & definitions:
Disaggregates: Service Delivery Modality
In addition to reporting the total number of individuals tested and receiving their test results and the total type of test results received (negative, positive), HTS_TST data should be disaggregated by service delivery modality, and then also by age/sex/test result within each service delivery modality. Service delivery modalities can reflect a reason for testing (index, STI), as well as, the location/place of testing (e.g., inpatient ward, VCT drop-in center). For example, STI and Index in this context refer to a reason a person is seeking or being offered an HIV test i.e., the person suspects he/she may have an STI or the person is a contact of an index client (see modalities below for more details). In either case (STI or index), that person should be reported under either STI or index even if he/she were tested for HIV any other location or setting (inpatient, VCT, drop-in center). That is, reporting the reason for testing as either STI or Index takes precedence over all other modalities. A single person should only be counted once under any given modality.
Service delivery modalities are defined as:
Community-based testing: Applies to any testing done outside of a designated health facility. Within community-based testing, the following disaggregates are available:
A. Index: Importantly, the index modality under HTS_TST will auto-populate from HTS_INDEX (see HTS_INDEX reference sheet for more information). Index testing, also referred to as partner testing/partner notification services, is an approach whereby the exposed contacts (i.e., sexual partners, biological children and anyone with whom a needle was shared) of an HIV-positive person (i.e., index client), are elicited and offered HIV testing services. That is, in this context, Index testing refers to any HIV testing of contacts of an index client (i.e., a known positive). Only the following persons count as contacts: current or past sexual partner(s), biological children /parents (if index case is child) or anyone with whom a needle was shared. Biological children reported under HTS_INDEX should only include children of an HIV-positive mother and children of male-index clients (fathers) whose biological mother is HIV-positive, deceased, or her HIV status is not known or not documented. Conversely, if the index client is the child, his/her mother should be tested, and if positive or deceased, the father should be tested as well. In this way, provision of index testing services is non-directional, whereby we are trying to follow transmission of the disease, and every newly identified positive becomes a subsequent index client from whom to elicit contacts. While testing the contacts of an index client may occur in mobile, VCT or other community testing venue, this testing should be reported under HTS_INDEX. That is, if an individual could be reported under both HTS_INDEX and another HTS_TST modality, that individual should only be reported once under HTS_INDEX. Again, the index modality under HTS_TST will auto-populate from HTS_INDEX (see HTS_INDEX reference sheet for more information).
B. Mobile: Testing in Mobile ad hoc or temporary testing locations, such as community centers, schools, workplaces, and includes testing in mobile unit such as tents and vans. Testing related to VMMC services is not included here and should be reported under facility based VMMC modality.
C. VCT (Voluntary Counseling and Testing): Includes testing conducted in standalone VCT center that exists outside of a designated health facility (e.g., drop-in-center, wellness clinic where HTS services are provided, testing sites aimed at key populations, etc.).
D. Other community platforms: Includes all community-based modalities not captured above (e.g., ad hoc testing campaign that does not satisfy the mobile testing definition) and community-based OVC testing) should be entered under this modality.
Facility-based testing: Applies to any testing occurring inside a designated health facility. Within the facility-based testing, the following disaggregates are available:
A. Index: Importantly, the index modality under HTS_TST will auto-populate from HTS_INDEX (see HTS_INDEX reference sheet for more information). Index testing, also referred to as partner testing/partner notification services, is an approach whereby the exposed contacts (i.e., sexual partners, biological children and anyone with whom a needle was shared) of an HIV-positive person (i.e., index client), are elicited and offered HIV testing services. That is, in this context, Index testing refers to any HIV testing of contacts of an index client (i.e., a known positive). Only the following persons count as contacts: current or past sexual partner(s), biological children /parents (if index case is child) or anyone with whom a needle was shared. Biological children reported under HTS_INDEX should only include children of an HIV-positive mother and children of male-index clients (fathers) whose biological mother is HIV-positive, deceased, or her HIV status is not known or not documented. Conversely, if the index client is the child, his/her mother should be tested, and if positive or deceased, the father should be tested as well. In this way, provision of index testing services is non-directional, whereby we are trying to follow transmission of the disease, and every newly identified positive becomes a subsequent index client from whom to elicit contacts. While testing the contacts of an index client may occur in mobile, VCT or other community testing venue, this testing should be reported under HTS_INDEX. That is, if an individual could be reported under both HTS_INDEX and another HTS_TST modality, that individual should only be reported once under HTS_INDEX. Again, the index modality under HTS_TST will auto-populate from HTS_INDEX (see HTS_INDEX reference sheet for more information).
B. Provider Initiated Counseling and Testing (PITC):
a. Emergency: Includes persons tested or seen in a designated emergency department or ward for the immediate care and treatment of an unforeseen illness or injury.
b. Inpatient: Includes PITC occurring among those patients admitted in the inpatient and surgery wards.
c. Malnutrition: Clinics and inpatient wards predominately dedicated to the treatment of malnourished children. While this service delivery modality may be part of either inpatient or outpatient services, if an individual could be reported under both malnutrition and another service delivery modality, report an individual only once and under malnutrition. However, the biological children of female index cases should be classified under the Index testing modality.
d. Pediatric <5 Clinic: Includes PITC occurring in the pediatric <5 clinic only. This modality refers only to children tested in the <5 clinic. Children tested for any other reason should be counted under the respective modality where their testing occurred. Note that this modality does not include virologic testing, which is reported under PMTCT_EID, nor rapid HIV testing used to identify HIV exposed infants. This modality should also not include children of index cases who should be classified under the Index modality or malnourished children who should be classified under Malnutrition.
e. PMTCT (ANC1 Only): Pregnant women tested at their 1st antenatal care clinic (ANC) for their current pregnancy (who are also reported under PMTCT_STAT) are reported under this modality. Refer to PMTCT_STAT reference sheet for guidelines on data collection. Individuals counted under PMTCT_STAT who already knew their status should not be reported under HTS_TST.
f. PMTCT (Post ANC1: Pregnancy/L&D/BF): Includes pregnant or breastfeeding women who receive a test POST ANC1, this includes women who are tested later in pregnancy (>ANC2), during labor & delivery (L&D), and while breastfeeding.
g. STI: Includes persons seen in a designated STI clinic as well as patients seen in the OPD for STI symptoms. This includes suspect and confirmed STI cases. HIV testing may take place in an STI clinic, an OPD, a co-located VCT or other setting. However, if the reason for the HIV testing is the individual is either a suspect or confirmed STI case, then the test should be reported under the STI modality.
h. TB: Includes persons referred for HIV testing because they are a confirmed or a presumptive TB case. HIV testing may have taken place in a TB clinic, a co-located VCT or other setting. However, if the reason for the HIV test is that the client is a TB case or a TB suspect, then it should be classified under the TB modality. Refer to TB_STAT for guidelines on data collection for TB.
i. Other PITC: This includes any other provider-initiated testing and counseling that is not captured in one of the other testing modalities listed above. For reporting purposes, this includes testing of patients triaged to other clinics within the OPD that see patients for routine/chronic care (i.e., eye, dental, dermatology, diabetes, etc.). This does not include patients seen in the OPD for emergency care or an STI. Those patients should be classified under the emergency and STI modalities, respectively.
C. VMMC: This modality includes HIV testing for males conducted as part of VMMC programs in both facility and mobile outreach programs. Testing is recommended through the VMMC program, although not mandatory. Refer to VMMC_CIRC for guidelines on data collection for VMMC.
D. VCT: Refers to a clinic specifically intended for HIV testing services that is co-located within a broader health care facility. This data can typically be found in the VCT register. This should not include testing of patients referred by providers from other clinical services within the facility (TB, ANC, Inpatient, emergency, etc.). Even though the actual test may be administered in the VCT clinic, report those individuals under the serviced delivery modality from which they were referred. This modality should also not include testing of exposed partners and exposed family members of an index case, who should be reported under the Index disaggregate.