Involvement of a comprehensive range of governmental, nongovernmental, community and private partners in collaborative TB/HIV activities

Export Indicator

Percent of potential partners in collaborative TB/HIV activities who are actively involved in the planning, implementation and monitoring of collaborative TB/HIV activities
What it measures

Process indicator to measure how comprehensive and inclusive collaborative TB/HIV activities are and to ensure that all relevant partners participate in the planning, implementation and monitoring of collaborative TB/HIV activities

Rationale
Numerator

Number of potential partners who are actively involved in the planning, implementation or monitoring of collaborative TB/HIV activities

Denominator

The total number of potential partners in collaborative TB/HIV activities at national level

Calculation
Method of measurement

An initial analysis will be necessary to create a checklist of all key partners that should be involved in the planning, implementation or monitoring of collaborative TB/HIV activities across all sectors at national level. From this list the proportion of the potential partners that are actually involved in activities should be established. This can be done by analysis of national TB, HIV and TB/HIV annual plans, meeting reports and minutes, and interviews with key TB and HIV programme staff. Involvement should be defined as representation at meetings of the national TB/HIV coordinating body, inclusion of collaborative TB/HIV activities in the policies of the partner’s organization, actual delivery of any collaborative TB/HIV activities (as defined in the WHO Interim Policy) or responsibility for monitoring or evaluating collaborative TB/HIV activities. The range of potential partners includes:
• other government sectors – ministries of employment, education, industry, finance transport, defence, justice, environment
• private sector organizations
• professional organizations
• civil society organizations – human rights groups, patient groups
• representatives of religious leaders
• implementation agencies
• nongovernmental organizations
• community-based organizations
• academic and other public institutions
• technical and donor organizations.
A similar indicator could be developed to assess the involvement of key stakeholders at district level.

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

HIV-related TB is primarily a medical condition; however, the factors that influence the transmission and management of TB, HIV and TB/HIV co-infection go beyond the health sector and can be influenced by the involvement of different partners from different sectors. It is important to demonstrate that partners from all relevant sectors are involved in the planning, implementation and monitoring of collaborative TB/HIV activities to ensure the most effective multisectoral response to the linked epidemics of TB and HIV.1 This indicator is limited in that it can only enumerate the organizations involved and not give any information about the strength of the partnerships, the degree of involvement of the various partners or the impact of their involvement. A definition of “involvement” has been attempted but remains subjective and therefore prone to variation between observers. The list of potential partners in collaborative TB/HIV activities will vary from country to country, but the proportion of these potential collaborators that are actually involved should be comparable between countries and over time. It may be time-consuming to create the list of all potential partners but the exercise will be helpful for identifying partners and increasing their involvement – and in subsequent years the list will only require updating.

Further information