Number of adults newly enrolled in pre-antiretroviral therapy (pre-ART) during the reporting period

Export Indicator

Number of adults newly enrolled in pre-antiretroviral therapy (pre-ART) during the reporting period
What it measures

Number of adults newly enrolled in pre-antiretroviral therapy during the reporting period (2012)
Yearly evolution of the number of patients newly enrolled in pre-ART.

In addition to ART, it is important to monitor pre-ART initiation.

Rationale

There are a significant number of people who are diagnosed with HIV but may not be eligible to start ART according to the national criteria. Enrolling this population in longitudinal pre-ART care is important and people in pre-ART will eventually progress to need ART and should be enrolled in pre-ART.

Numerator
Denominator
Calculation
Method of measurement

Facility pre-ART registers. By counting the number of patients who are newly enrolled in pre-ART within the reporting period.

Data Quality Control and Notes for the Reporting Tool: Double Reporting: If patients transferred in and out are not correctly registered, there is a risk for double reporting which could lead to an overestimation of pre-ART initiation. If this is the case, please comment.
Similarly if patients temporarily stopping pre-ART and restarting are coded as new patients, this will overestimate the true number of patients newly enrolled in pre-ART.
National Representativeness: the numerator is a national cumulative indicator, usually produced by all health facilities. Please comment on your data as necessary.
Triangulation Options: Reviewing the number of people diagnosed with HIV.

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 pre-ART but does not attempt to measure the details nor the quality of pre-ART care provided. It also does not capture retention during the pre-ART period.

Additional considerations:

People on the ART 'waiting list', i.e. patients eligible for ART and not initiated, are often listed in the pre-ART register. The number of people retained on pre-ART is also important to review when possible, to ensure people with HIV are engaged in care even if ART has not been initiated.
Some countries record all patients in pre-ART even if they are eligible to start ART by enrolling them, and then transferring them to the ART register; in other cases, patients eligible for ART may be immediately recorded only in ART registers, for example if pre-ART registers do not exist. This is important to keeping in mind when reviewing related data.

Data utilization:
Reviewing the number of people initiating pre-ART with the number of people diagnosed HIV+, and the number of people initiating ART (previous question) provides information on trends in initiation to pre-ART and ART programmes.

Further information