Number of individuals who received Testing and Counseling (T&C) services for HIV and received their test results

Export Indicator

Number of individuals who received Testing and Counseling (T&C) services for HIV and received their test results
What it measures

This indicator is intended to monitor trends in the uptake of HIV T&C services over time within a country, regardless of the type of T&C service delivery method.

The recommended levels of disaggregation are intended to monitor access to and uptake of HIV T&C by specific populations that are most affected by the epidemic. Data could also be useful for projecting programmatic needs such as test kits and other staffing resources, although individuals are counted.

Rationale
Numerator

Number of individuals who received T&C services for HIV and received their test results during the past 12 months

Denominator

Not applicable

Calculation

Not applicable

Method of measurement

Data for the numerator should be generated by counting the total number of individuals who received HIV T&C from any service delivery point. Service delivery points could include fixed health care facilities such as, hospitals, public and private clinics, VCT, ANC, L&D, PMTCT, or TB sites; standalone sites such as free standing sites not associated with medical institutions; and, mobile testing such as, HIV T&C services offered in a specific location for a limited period of time, e.g. outreach, door-to-door services and workplace testing events.

All individuals receiving T&C should be counted in this indicator regardless of where the service is provided. These individuals will include TB patients, pregnant women, men receiving circumcision, and infants. 

To adequately collect data for this indicator, a minimum provision of the following services is required: counseling, testing, return and receipt of test results.

*Couples counseling describe those sessions where two or more people in a relationship come together for HIV T&C services. If a couple comes for services together, they should be counseled together and receive their test results together, where possible. When this happens data should be collected for each individual and it should be indicated on the form that this was a couple session as opposed to an individual session. 

Disaggregation:
Essential/reported By Sex: Male, Female
Essential/reported By Age: Essential/not reported By test result: Positive, Negative
Recommended By type of counseling: Individual, Couples*
Recommended By MARP type: CSW, IDU, MSM

Measurement frequency

Continuously

Disaggregation

Age group: (greater than) 15 years

Condom type: N/A

Education: N/A

Gender: Male, Female

Geographic location: N/A

HIV status: HIV positive, HIV negative

Pregnancy status: N/A

Sector: N/A

Service Type: N/A

Target: Clients of sex workers, Injecting drug users, Men who have sex with men

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 indicator is intended to monitor individuals and the trends in the uptake of testing and counseling over time. However, in some cases, data for this indicator might include repeat testers. If data on persons who retest are not available, this indicator will give information on the number of times HTC services were delivered, rather than the number of individuals who received HTC services. Repeat testing is common practice among most HIV T&C programs and it is important to recognize this and interpret the aggregated data with caution.

Over time, the number of people who are expected to be tested and counseled within a country will vary depending on numerous factors such as, the numbers of people with previously confirmed positive status, or the number of people who may be at perceived risk of HIV infection, and hence this indicator should be interpreted accordingly.

In addition, the type and focus of a T&C program for each respective country has an impact on its interpretation. For example, a program that targets high-risk groups or areas of highest prevalence, may have smaller numbers tested, and yet higher yield in HIV infection identification than a program providing general T&C services.

Given that this indicator is intended to count individuals and not tests, data produced through this indicator would need further interpretation for use in commodities planning.

Finally, this indicator does not provide information on whether those who were tested were adequately referred to and are receiving follow up services to benefit from knowing their HIV status.

Further information