Number of women and men aged 15 and older who received HIV testing and counselling in the last 12 months and know their results

Export Indicator

Number of women and men aged 15 and older who received HIV testing and counselling in the last 12 months and know their results
What it measures

Number of people aged 15 and older who received HIV T&C through any method or setting (excluding mandatory T&C) in the past 12 months and know their results

(Note: Although not required for the purposes of this indicator the denominator may be gauged by using the general population as the denominator in generalized epidemics, and the key populations at higher risk and other groups for low-level and concentrated epidemics. These data can be reviewed along with an estimate of what percentage of the HIV+ population already know their status, and what the recommended HIV testing policy or frequency is.

Programmatic progress for testing and counselling. Tracking the number of individuals who are tested and counselled and know their status provides an indication of uptake of T&C in the country.

Rationale

Knowledge of HIV status is critical for access to HIV treatment, care and support, and prevention. There are different models for delivery of the testing and counselling services such as client-initiated testing and counselling (CITC) and provider-initiated testing and counselling (PITC). The essential elements of TC are that those who are tested are appropriately counselled and know the results.

Numerator
Denominator
Calculation
Method of measurement

Programme service statistics compiled from routine reports of the number of people tested and know the results from all service points, including CITC sites, clinics, hospitals, and NGO outreach points, etc. (excluding mandatory T&C) which are often aggregated at the district levels and subsequently at the national level. This indicator is not measured through population-based surveys.

Disaggregation:
Sex: Male, Female
Serostatus: HIV positive, HIV negative

If possible :
Age: 15-19, 20-24, 25+
Test: New test , Repeated test

Data Quality Control and Notes for Reporting
• Double Reporting: Countries will need to estimate the extent of repeat testers in order to determine the true number of persons tested over the period. If countries have a mechanism to make such a meaningful assessment (e.g. record of the number of repeat testers), please do so and note how this was done. Otherwise, please report the total number of tests reported.
• National Representativeness: Try to ensure information from non- governmental and private facilities is also available at the central level. If significant information is missing, note it down in the comments section.
• Denominator Issues: Although not required for the purposes of this indictor the validity of the numerator may be gauged by comparing the general population as the denominator in generalized epidemics, and the size of the
most at-risk populations (MARPs) and other groups for low-level and concentrated epidemics.
• Triangulation Options: In generalized epidemics, data from population-based surveys asking for the number (and calculating the percentage) of people tested can be compared to with this indicator value to assess and discuss any major differences.
• Test Results: In the comments section, please report data by serostatus (number HIV+, HIV-) if available.

Measurement frequency
Disaggregation

Age group: 15 years - 19 years, 20 years - 24 years, > (greater than) 24 years

Gender: Male, Female

HIV status: HIV positive, HIV negative

Explanation of the numerator
Explanation of the denominator
Strengths and weaknesses

This indicator permits comparison of trends of the quantity of TC services delivered and the strength of scaling up TC services over time.
This indicator may provide information on the number of times T&C occurred, and not necessarily the number of people who received T&C services unless countries have a mechanism to avoid double-counting of repeat testers.
The indicator does not provide information on whether those who were tested were adequately referred to and receiving follow-up services to benefit from knowing their status.

Data utilization:
To know the number of tests conducted in the country, can compare with previous years to look at trends while considering the percentage of the population that may have already been tested recently. It can be useful to explore any patterns in testing, for example whether there were more tests conducted in a particular
season or month when there were campaigns, or whether many more people are being tested in particular health facilities or in the communities.

Additional considerations for countries
In some countries, a significant proportion of testing and counselling services are provided by community-based organizations or unregistered organizations, which often may not be included as part of national statistics. These organizations should be encouraged to register with national authorities so all data on testing and counselling could be reflected in the national statistics.

Further information