Presence of joint TB/HIV IEC materials in TB and HIV services

Export Indicator

Percent of TB and HIV service delivery points where IEC materials giving information on both HIV and TB, their interaction and their prevention are available
What it measures

To demonstrate the commitment and capacity at national and facility level to creating HIV awareness among people with TB and TB awareness among PLWHA and to promote prevention of HIV and TB.

Rationale
Numerator

Total number of TB and HIV service delivery points where IEC materials on both HIV and TB, their interaction and their prevention are available

Denominator

Total number of TB and HIV service delivery points evaluated.* *Also give the total number of TB and HIV service delivery points nationally to indicate the proportion evaluated.

Calculation
Method of measurement

The data needed for this indicator can be collected at the time of regular facility supervisory visits or at the time of external programme review. Ideally, data on this indicator should be collected on all supervisory visits made by the district TB manager, HIV manager or TB/HIV manager and thus be available for all TB and HIV service delivery points. This indicator requires the supervisor or reviewer to determine whether any IEC materials (e.g. posters, leaflets or videos) are freely available for clients. At a minimum IEC materials should provide information on TB, HIV and their interaction and on how to reduce the risk of both HIV transmission and TB disease. They should be available in local languages and understandable by those who are illiterate.

Measurement frequency

Annual

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 presence of comprehensive and linked IEC materials is an important step in ensuring community awareness about HIV, TB, the link between them, and the prevention, treatment and care opportunities that are available. The indicator will not provide information on the quality or appropriateness of IEC materials, or whether they are used or understood, or on the training received by health care workers in routinely discussing HIV and TB with all clients. Information on HIV risk reduction is a simple, cheap and effective tool for reducing HIV transmission and should be made available to those at risk of HIV infection, including TB patients, especially in settings where the HIV epidemic is driving the TB epidemic. The absence of IEC materials related to HIV in TB services and to TB in HIV services can be the consequence of failure to produce the materials, failure to distribute the materials to the facility level, lack of collaboration between control programmes (HIV-related IEC materials not distributed to TB services), lack of commitment to HIV awareness at the NTP (and vice versa), IEC material on the TB/HIV link is not produced nationally or is insufficiently distributed, or lack of commitment to TB/HIV control at the facility level (distributed materials are not used). Additional investigation will be necessary to find out which step is operating poorly.

Further information