(OVC_HIVSTAT) Percentage of orphans and vulnerable children (<18 years old) with HIV status reported to implementing partner (including status not reported).

Export Indicator

Percentage of orphans and vulnerable children (<18 years old) with HIV status reported to implementing partner (including status not reported).
What it measures

This indicator will be tracked through routine program monitoring semi- annually through the POART process. Since report of HIV status is essential to effective case management, the OVC TWG will gauge progress at OU level to ensure that OVC implementing partners are proactively promoting reporting of HIV status for all enrolled children and ensuring that those who are positive are enrolled and retained in ART treatment.

Rationale:

Given the elevated risk of HIV infection among children affected by and vulnerable to HIV, it is imperative for PEPFAR implementing partners to monitor HIV status among OVC beneficiaries, and to facilitate access and retention in ART treatment for those who are HIV positive. When the implementing partner knows the HIV status, the program can contribute to ensuring that the children are linked to appropriate care and treatment services, all essential elements of quality case management. OVC programs can also play an important role in family-centered disclosure, for those who are HIV positive.

- This indicator is NOT intended to be an indicator of HIV tests performed or receipt of testing results, as these are measured elsewhere and test results are frequently unavailable to community organizations due to health facility concerns about patient confidentiality.

- This indicator is NOT intended to imply that all OVC beneficiaries require an HIV test. OVC with known positive or negative status do not need to be tested. Only OVC with no HIV status in the reporting period should be assessed for HIV risk.

- Status disclosure to the implementing partner is NOT a prerequisite for enrollment or continuation in an OVC program. OVC programs serve persons of positive, negative, and unknown HIV status appropriate to their needs and vulnerability to HIV. 

- This indicator captures if implementing partners are tracking the self-reported HIV status of the orphans and vulnerable children they serve and enrollment in ART for those who are positive. Testing results for OVC who are referred for testing should be reported under HTS_TST based on the service delivery point where they were tested

- This indicator also captures if implementing partners are tracking if the orphans and vulnerable children they serve who report to be HIV positive are successfully linked to and retained in treatment and care.

- This indicator is a subset from OVC_SERV. Only OVC who were reported under OVC_SERV <18 at Q4 should be included in the denominator for this indicator.

- Since this is not a testing indicator, HIV positivity yield should not be calculated based on this indicator. Yield calculations should only be made by testing partners.

 

Numerator

Number of orphans and vulnerable children (<18 years old) with HIV status reported to implementing partner (including result not reported), disaggregated by status type.

Denominator

Number of orphans and vulnerable children reported under OVC_SERV (<18 years old) [Denominator is not collected again, as part of this indicator but is collected under the indicator OVC_SERV]

Calculation

Use result reported at Q4/APR. 

Method of measurement
Data sources for this indicator include HIV test results that are self-reported by OVC (or their caregivers), results of HIV Risk Assessments conducted by implementing partners, registers, referral forms, client records, or other confidential case management and program monitoring tools that track those in treatment and care.
 
Implementing partners will record the OVC beneficiary’s self-reported HIV status –semiannually.
 
“Reported HIV positive to IP” includes beneficiaries <age 18 who report to the IP that they are HIV positive based on an HIV test conducted during or prior to the reporting period (regardless of where the test occurred). All entries for “reported HIV positive to IP” should be further disaggregated as “currently receiving ART” or “not currently receiving ART.” This also includes beneficiaries <age 18 who report that they are HIV positive based on an HIV test conducted during previous project reporting periods.
 
“Reported HIV negative to IP” includes beneficiaries <age 18 who report that they are HIV negative to the IP based on an HIV test conducted during the reporting period (regardless of where the test occurred). For a child who reports multiple tests within the current period, use most recent test.
 
“No HIV status reported to the IP” includes beneficiaries who fall into one of the below described categories:
- “Test not indicated” – includes beneficiaries who based on a risk determination
made by the implementing partner do not require a test during the reporting
period. (Forthcoming Operational Considerations for OVC Programs and HTS will
include further information on determining whether a test is indicated)
 
-  “Other reasons” – includes all beneficiaries (OVC_SERV <age 18) not entered in
above categories. This may include, for example, children for whom testing was
indicated but did not test, or children who were tested but did whose result was
not reported to the partner as well as children whose HIV status was not reported
to the implementing partner for any other reason.
 
OVC entered as ““Reported HIV positive to IP” in the previous reporting period, should continue to be reported as positive during the current reporting period and their enrollment in ART noted. Beneficiaries < age 18 entered as “Reported HIV negative to IP” during the previous reporting period and children entered as “No HIV test reported to the IP” in the previous reporting period should be reassessed by the implementing partner to determine whether testing is indicated and the results entered as outline above.
 
How to review for data quality: 
 
The OVC_HIVSTAT numerator (OVC <18 years who have reported to the OVC implementing partner that they are HIV positive) should not exceed the denominator , OVC_SERV (<18 years) and the numerator should be larger or equal to the number of OVC who are HIV positive and enrolled in ART. Review any site with the numerator greater than 100% of OVC_SERV or very low coverage of OVC_HIVSTAT or the number enrolled in ART is greater than the numerator.
 
 
Measurement frequency

Report semi-annual

 

Reporting Level:

Site level, community

Disaggregation

Numerator: Number of orphans and vulnerable children (<18 years old) with HIV status reported to implementing partner (including result not reported), disaggregated by status type

Status type:  1.Reported HIV positive to implementing partner a.Currently receiving ART b.Not currently receiving ART

2.Reported HIV negative to implementing partner

3.No HIV status reported to the implementing partner a.Test not indicated based on HIV risk assessment b.Other reasons

Description of Disaggregate: In addition to the numerator, implementing partners are required to report:

1. Reported positive and on ART: Among OVC reported to be HIV positive, if they are currently receiving ART at the end of the reporting period or not;

2. Reported negative: OVC who report being HIV negative in the reporting period

3. Reported no HIV status: OVC who report unknown status or do not disclose their HIV status to the implementing partner. Among this group, how many had test not indicated based on the HIV risk assessment conducted by the implementing partner

Explanation of the denominator

Number of beneficiaries (<18 years old including “active”, “graduated”, “transferred”, and “exited without graduation”) served by PEPFAR OVC programs for children affected by HIV/AIDS at Q4.

Further information

MER 1.0 to 2.0 Change:

This is a new indicator for MER 2.0 and OUs are required to report on it during FY17. This indicator formerly called OVC_ACC (MER 1.0) and OVC_KNOWNSTAT (in the original MER 2.0 target setting documentation) was changed to OVC_HIVSTAT to reflect that HIV status is self-reported to the implementing partner by the OVC or OVC caregiver.

PEPFAR Support definition:

 Standard definition of DSD and TA-SDI used.

Provision of key staff or commodities for OVC beneficiaries receiving care and support services in the community include: For beneficiaries of OVC services, this can include funding of salaries (partial or full) for staff of the organization delivering the individual, small group or community level activity (e.g., psychosocial support, child protection services, education, etc.) or procurement of critical commodities essential for ongoing service delivery. Partial salary support may include stipends or incentives for volunteers, or paying for transportation of those staff to the point of service delivery.

For care and support services, ongoing support for OVC service delivery for improvement includes: the development of activity-related curricula, education materials, etc., supportive supervision of volunteers, support for setting quality standards and/or ethical guidelines, and monitoring visits to assess the quality of the activity, including a home visit, a visit to a school to verify a child’s attendance and progress in school or observation of a child’s participation in kids clubs.

DREAMS SNU Specific Guidance:

None