Proportion of TB patients tested who receive post-test counselling

Export Indicator

Percent of registered TB patients who are tested for HIV (after giving consent) and who receive their results through post-test counselling
What it measures

To assess the proportion of TB patients tested who receive post-test counselling. This will stress the importance of not only testing TB patients but also ensuring that they receive their HIV results and appropriate post-test counselling, depending on their HIV result. It will provide a measure of the accessibility of and staff commitment to post-test counselling.

Rationale
Numerator

Number of TB patients registered over a given time period who are tested for HIV (after giving consent) and receive their results through post-test counselling

Denominator

Total number of TB patients registered over the same given time period who are tested for HIV (after giving consent)

Calculation
Method of measurement

HIV testing and post-test counselling may not take place in the TB clinic or even on the same site as the TB clinic. Thus, it is important that a mechanism is in place to ensure that TB patients are both HIV-tested and, more importantly, that they receive their result through post-test counselling with a health care worker appropriately trained according to national protocols. The TB programme should also be informed of the result and that post-test counselling has taken place. If the whole process of HIV testing and post-test counselling takes place within the TB service, it will be simple to capture that information in a modified TB register or separate TB/HIV register. If any component of the HIV testing occurs outside the TB programme, a simple referral mechanism must be established to inform the TB programme when a patient has been tested, what the result is and whether the patient has received the result and post-test counselling.

Measurement frequency

Continuously

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

Post-test counselling is the most important element of HIV testing as it ensures that individual patients are aware of their HIV status, of how they can change their behaviour to reduce HIV transmission and, if positive, of what interventions are available to keep them healthy for as long as possible. It is important, especially when HIV results cannot be made available to patients on the same day, that there is some mechanism in place to ensure that TB patients who are tested do indeed receive their HIV test results. Requesting this data will help to underline the importance both of encouraging HIV testing for TB patients and of ensuring that patients receive their results through post-test counselling. This information can give no indication of the quality of post-test counselling or of individuals changing their behaviour to reduce transmission.

Further information