Percent of facilities with a fully functional T&C service centre

Export Indicator

The percent of facilities* that have the capacity to provide an HIV test, including: policies or guidelines for informed consent and confidentiality, adequate supplies, a client register, and documentation for recording whether results were given to the c
What it measures

This indicator attempts to capture the capacity of an existing T&C-providing facility to provide a standard level of services in order to inform planning.
 This indicator quantifies the conditions or items recommended for a T&C site to be fully functional.

Rationale
Numerator

Number of facilities that have all items (noted below in “Measurement tools and how to measure it”) for HIV testing capacity

Denominator

Total number of facilities surveyed (based on the sampling plan used to determine program coverage)

Calculation
Method of measurement

This includes facilities that refer clients for the test through a formal or informal agreement with an external network laboratory or testing unit, if they are responsible for follow-up on the results of those clients.
 
Each point-of-service area for HIV testing in a facility must have all individual items in the checklist below for it to meet all of the requirements for this item.
Necessary conditions for a T&C site to be fully functional:a) An observed, written policy or guideline on informed consent outlining the content of an informed consent message and clarifying that it is the policy to inform the client prior to
conducting HIV/AIDS test (this should be available in each service area where a provider orders HIV/AIDS tests);
 
b) All necessary supplies to conduct any one test for diagnosis of HIV on the day of the survey.  The acceptable tests will be defined locally; 
 
c) A register or other record that provides information on HIV/AIDS tests conducted, results, and that have some means for client identification (i.e. a client number).  The register must be observed and up-to-date (a test is recorded within the prior 30 days);
 
d) Documentation that indicates whether results have been provided to the client or referring provider. This may be:  i) writing the results on a referral form for the client (the lab should have referral forms that are waiting for results available, ii) a register that indicates results were provided or not provided, and iii) any other system that achieves the objective.  

Measurement frequency

Biennial

Disaggregation

Age group:

Education: N/A

Gender: N/A

Geographic location: N/A

Pregnancy status: N/A

Sector: 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

The list of components excludes facilities that only conduct or refer for pre-employment HIV/AIDS tests, excludes testing blood prior to transfusion, and excludes facilities that refer clients to another facility for assessment and testing, where further services are the responsibility of the referral facility.

Further information