(PMTCT_STAT (Includes PMTCT_STAT_POS)) Percentage of pregnant women with known HIV status at antenatal care (includes those who already knew their HIV status prior to ANC)

Export Indicator

Percentage of pregnant women with known HIV status at antenatal care (includes those who already knew their HIV status prior to ANC)
What it measures

Track progress toward ensuring that all pregnant women who attend PEPFAR supported antenatal care (ANC) know their HIV status and are initiated on ART.

Numerator

Number of pregnant women with known HIV status at antenatal care (includes those who already knew their HIV status prior to ANC)

Denominator

Number of new ANC clients in reporting period

Calculation

Assuming site level records avoid double counting (as described above) across the annual reporting cycle, sum numerator and denominator across all reporting periods for the annual result

Method of measurement

The data source is the ANC register. There is a risk of double counting as a pregnant woman could be tested multiple times during one pregnancy therefore partners should ensure a data collection and reporting system is in place to minimize double counting including a longitudinal ANC register (meaning a register that is able to record all information about one pregnancy in one location, with rows or columns that allow for recording information on multiple visits during that pregnancy). There is also a risk of undercounting if those women who already knew their HIV status prior to attending ANC are not documented, therefore the ANC register should at a minimum should document both “previously known positive” and “newly tested positive”. Finally “known negative” (ie. women who tested HIV negative prior to current pregnancy) is not reported in DATIM however it may be appropriate to report “known negative” women as part of the numerator if: 1) National guidelines do not require retesting women known to be HIV negative (often women tested in the last 3 months, however exact timing depends on local guidelines) and 2) ANC registers and reporting systems only capture 1 st month or 1st ANC visit.

(As this is a status indicator and not a testing indicator - These women should also be counted in the general HTS indicator “HTS_TST” PMTCT (ANC Only) service delivery modality)

How to review for data quality

The % should never be above 100% at a site, and therefore review of the method of data collection and correction of any errors at sites with greater than 100% coverage is important to ensuring data quality for this indicator

Measurement frequency

Quarterly

Disaggregation

Numerator - Number of pregnant women with known HIV status at antenatal care (includes those who already knew their HIV status prior to ANC)

Age

Status disaggregated by Age

Positivity Status

Known Positive at Entry, Newly Tested Positive, (sum of positive disaggregates = PMTCT_STAT_P OS) Newly Tested Negative

Known/New Status by age

Known Positive at entry and newly tested positive disaggregated by age.

Description of Disaggregate

Known status by <10, 10-14, 15-19, 20- 24, 25-49, 50+. Record age at the time of ANC registration. If age is not documented or unknown, record as unknown

In addition to the numerator implementing partners are required to report:

Known Positive at entry: Number of pregnant women attending ANC for a new pregnancy who were tested and confirmed HIV-positive at any point prior to the current pregnancy should be reported as known positive at entry. Pregnant women with known HIV status attending ANC for a new pregnancy may not need retesting if they are already on ART, or they may be required to be retesting prior to initiating ART based on national guidelines. Known positives who are retested and confirmed to be HIV positive prior to initiating ART should still be documented as known positive at entry.

Newly tested positive: The number of women attending ANC who were tested for HIV and received a positive result.

Known positives at entry by <10, 10-14, 15-19, 20-24, 25-49, 50+. Record age at the time of ANC registration. If age is not documented or unknown, record as unknown. New positives by <10, 10-14, 15-19, 20- 24, 25-49, 50+. Record age at the time of ANC registration. If age is not documented or unknown, record as unknown.

Denominator-  Number of new ANC clients in reporting period

Age

Denominator disaggregated by Age

Description of Disaggregate

<10, 10-14, 15-19, 20-24, 25-49, 50+. Record age at the time of ANC registration. If age is not documented or unknown, record as unknown.

Explanation of the numerator

The numerator is the sum of the following two data elements:

1) The number of women with a previously known HIV status (both known HIV positive and known negative) attending ANC for a new pregnancy over the last reporting period.

2) The number of women attending ANC who were tested for HIV and received results (These women should also be counted in the general HTS indicator “HTS_TST”)

Explanation of the denominator

N/A

Further information

MER 1.0 to 2.0 Change

Collected at only antenatal care (ANC) sites to better align with upcoming 2016 WHO Consolidated ARV guidelines, reduce burden on data collection, and improve data quality.

Newly tested negative was added as a disaggregate to calculate yield.

EA/ SIMS considerations EA

To ensure accuracy of HTS unit expenditures, please ensure that PMTCT_STAT beneficiaries are also be counted in the general HTS indicator “HTS_TST” PMTCT (ANC Only) service delivery modality. More details can be found in Appendix 2 on EA-MER Alignment.

Reporting level

Site Level: facility

PEPFAR Support definition

Standard definition of DSD and TA-SDI used.

Provision of key staff or commodities for PMTCT include: commodities such as test kits, ARVs, lab commodities, or funding for salaries of health care workers.

Ongoing support for PMTCT service delivery improvement includes: training of PMTCT service providers, clinical mentoring and supportive supervision of PTMCT service sites, infrastructure/renovation of facilities, support for PMTCT service data collection, reporting, data quality, QI/QA of PMTCT services support, ARV consumption forecasting and supply management, support of lab clinical monitoring of patients, supporting patient followup/retention, support of mother mentoring programs.

DREAMS SNU Specific Guidance

DREAMS SNUs set targets and report on results in DREAMS SNUs similarly to non-DREAMS SNUs. No additional DREAMS specific target setting or reporting is required