Number of adults newly enrolled in HIV care (pre-ART or ART) during the reporting period

Export Indicator

Number of adults newly enrolled in HIV care (pre-ART or ART) during the reporting period
What it measures

Number of adults newly enrolled in pre-ART or ART during the reporting period (2012)
The number should represent the number of people who have accessed pre-ART/ART services for the first time in the year

Rationale

The total number of people newly enrolled in HIV care (pre-ART or ART) provides information on how many HIV+ people are initiating HIV care in the health system. The number can be compared with the number of people newly diagnosed with HIV to assess uptake of care and treatment services in people newly diagnosed with HIV.

Numerator
Denominator
Calculation
Method of measurement

Facility pre-ART and ART registers, depending on the country’s monitoring system. Count the number of patients who are newly enrolled in pre-ART/ ART within the reporting period.
If the country’s HIV monitoring systems are set up so that all patients are entered into the pre-ART registers even when they are ready to start ART, then only the number of new patients enrolled in pre-ART need to be counted (and the number would be the same as the previous question- the number of adults newly enrolled in pre-ART). If this is not the case, then available data needs to be reviewed and aggregated accordingly.

Data Quality COntrol and Notes for the Reporting Tool: Double Reporting: Please comment if there is a strong possibility of double-counting.
National Representativeness: Please comment on your data as necessary.
Triangulation Options: Reviewing with the number of people diagnosed with HIV, or comparing with previous years.

Measurement frequency
Disaggregation

Gender: Male, Female

Sector: Private, Public

Explanation of the numerator
Explanation of the denominator
Strengths and weaknesses

This indicator permits monitoring trends in enrolment in HIV care (pre-ART and ART) but does not attempt to measure the quality nor retention in HIV care.

Additional considerations:
Most countries report the number of people newly initiated on ART as part of the number newly enrolled in pre-ART; then those needing ART are transferred from the pre-ART register to the ART register.
If people starting ART are not recorded in the pre-ART register, then one possible way to calculate the numerator is by adding the number newly enrolled in pre-ART with the number newly enrolled in ART and subtracting the number of people who transferred from pre-ART to ART in a given year. However, in many settings with paper-based monitoring systems, it may not be feasible to easily know the number of people who transferred from pre-ART to ART at the national level unless the national cross-sectional reporting form is set up to report up this information.

Data utilization: Reviewing the number of people newly enrolled in HIV care (initiating pre-ART/ ART) with the number of people newly diagnosed HIV+ can provide an indication of uptake of HIV care among those diagnosed HIV+.

Further information

Other references: This is a new indicator for global reporting, and is the numerator of indicator D-1 in the HIV testing and counselling M&E guide (field-test version).