Number of eligible adults and children provided with a minimum of one care service

Export Indicator

Number of eligible adults and children provided with a minimum of one care service
What it measures

This indicator measures the number of individuals receiving care services through PEPFAR. Data collected through this indicator will inform country programs and PEPFAR about the scale-up of services for individuals affected by HIV. Data collected from this indicator can inform program planning, budget allocations, and will be used to report against the legislative 5-year goal of 12 million individuals. The age disaggregation (

Rationale

PEPFAR has a legislative 5-year goal to care for 12 million individuals, including care services to 5 million children orphaned or made vulnerable by HIV.

PEPFAR recognizes that individuals, families, and communities are being affected by HIV in ways that may hinder the medical outcomes of HIV-positive persons as well as the emotional and physical development of children orphaned or made vulnerable by HIV. A variety of services are supported through PEPFAR to mitigate these effects in order to improve health outcomes for HIV positive, improve the developmental growth of children, and optimize the quality of life of adults and children living with and affected by HIV

Numerator

Number of adults and children provided with a minimum of one care service

Denominator

Not applicable

Calculation

Not applicable

Method of measurement

The numerator is generated by counting the number of eligible individuals who received at least one care service from facilities and/or community/home-based organizations. This is the number of unique individuals receiving care services.

Definitions:
PEPFAR CARE programs include support, preventative, and clinical services

Clinical Services – Include a broad range of services related to the specific clinical needs of HIV-positive persons. Clinical services may be provided in facilities, the community, or in the home, and may include both assessment of the need for interventions (for example assessing pain, clinical staging, and eligibility for Cotrimoxizole, or screening for tuberculosis) or provision of needed interventions. These services are further defined under the CARE indicator for Clinical Services for HIV-positive. See appendix 2 for the full menu of clinical services.

Individuals eligible for clinical services:
People living with HIV (PLWHA), including pregnant women

Preventive Services - Include a range of services related to the prevention of the transmission or acquisition of HIV. Services may include both assessment of risk and need for interventions or provision of needed interventions.

Support Services – Include a broad range of services, which provide social, psychological, or spiritual support and are appropriate for all persons who are affected by HIV, including people living with HIV/AIDS (PLWHA).

Support services fall into these broad categories: Psychological, spiritual, preventive, food support*, shelter, protection, access to health care, education/vocational training, and economic strengthening. See appendix 2 for the full menu of support related services.

Individuals eligible for preventive and support services:
-Adults and children living with HIV (PLWHA), including pregnant women-Family members, caregivers, or other household members living with or caring for an HIV-positive individual or an OVC -Children made vulnerable due to HIV (

To count under this indicator, individuals must receive a minimum of one service.
However, PEPFAR programs should seek to provide a comprehensive set of support and clinical services appropriately tailored to the status of the individual or family. This comprehensive set of services should include linkages to partners providing other types of services as indicated. For HIV-infected persons, programs should ensure that patients receive services through the full continuum of care, which extends specifically to clinical services (see indicator C2.1.D) and eventually to anti-retroviral therapy (see indicator T1.1.D).

The aggregated total for this indicator is not simply the sum of the individuals served by all partners. Overlap of services provided by facility-based care and support and community/home-based care and support partners must be adjusted for so that individuals are counted only once in the aggregated total. Individuals who receive services from more than one partner or provider should be de-duplicated at the program summary reporting level.
For example: individuals may receive services from different partners and still be counted at the partner level (i.e. social service from partner A and psychological services from partner B), individuals should only be reported once at the summary program level.
*Food Support may also fall under clinical support when provided as therapy for clinically malnourished HIV-positive clien

Measurement frequency

Continuously

Disaggregation

Age group: (greater than) 18 years

Condom type: N/A

Education: N/A

Gender: Male, Female

Geographic location: N/A

HIV status: N/A

Pregnancy status: N/A

Sector: N/A

Service Type: 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

This is a high-level indicator that provides the total number of all individuals receiving care services through PEPFAR from facilities and/or community/home-based organizations. While an individual must receive at least one care service to be counted, this indicator does not articulate what type of service was provided, or where it was provided. However, subsets of this high-level indicator provide more specificity regarding types of populations and services received (For example, see indicators C2.2.D, C2.3.D, and C2.4.D)

This indicator does not currently provide measures of coverage, nor does it measure quality or effectiveness of services.

Further information