(TB_ART) Proportion of HIV-positive new and relapsed TB cases on ART during TB treatment

Export Indicator

Proportion of HIV-positive new and relapsed TB cases on ART during TB treatment
What it measures

This indicator will measure the extent to which programs effectively link HIV-infected TB patients to appropriate HIV treatment. The HIV status of TB patients is often determined at the TB clinics (and will be captured with TB_STAT), but ART for TB cases is frequently provided by the HIV program. Therefore, provision of ART for this population often implies successful linkage between the TB and HIV program, which should be followed from TB_STAT_POS to TB_ART.

Numerator

Number of TB cases with documented HIV-positive status who start or continue ART during the reporting period

Denominator

TB_STAT_POS (see TB_STAT): Number of registered TB cases with documented HIV-positive status during the reporting period.

Calculation
How to calculate annual total:
 
Sum results across quarters.
Method of measurement

The numerator is generated by counting the total number of TB patients (new and relapse TB cases) with documented HIV-positive status during TB treatment who are newly initiated or already on ART.

How to review for data quality:

Only one disaggregation type is used for age/sex. Numerator ≥ subtotal of each of the disaggregation.

Reporting Level:

Facility

Measurement frequency
Reporting frequency:
 
Quarterly
Disaggregation

Numerator Disaggregations:

Disaggregate Groups:

1. ART Status by Age/Sex [Required]
 
Disaggregates:
 
1. • New on ART: <1 F/M, 1-4 F/M, 5-9 F/M, 10-14 F/M, 15-19 F/M, 20-24 F/M, 25-29 F/M, 30-34 F/M, 35-39 F/M, 40-44 F/M, 45-49 F/M, 50+ F/M, Unknown Age F/M
• Already on ART: <1 F/M, 1-4 F/M, 5-9 F/M, 10-14 F/M, 15-19 F/M, 20-24 F/M, 25-29 F/M, 30-34 F/M, 35-39 F/M, 40-44 F/M, 45-49 F/M, 50+ F/M, Unknown Age F/M
 
 
Denominator Disaggregations:
 
Disaggregate Groups:
 
TB_STAT_POS (See TB_STAT).
 
Disaggregates:
 
TB_STAT_POS (See TB_STAT).
 
 
Disaggregate descriptions & definitions:
 
Age Description: Age is defined as the age at the date of initiation on ART or current age, not the age at the date of reporting.
 
ART Status Definition: This disaggregation should distinguish those who started ART during the reporting period (this should also be reported under TX_NEW) from those who were already on it at the beginning of the reporting period.

 

Explanation of the numerator

The numerator is generated by counting the total number of TB patients (new and relapse TB cases) with documented HIV-positive status during TB treatment who are newly initiated or already on ART.

Explanation of the denominator

Denominator is not collected as part of this indicator, but is TB_STAT_POS.

Further information
Indicator changes (MER 2.0 v2.2 to v2.3):
 
• Reporting frequency has changed from semi-annual to quarterly.
 
• Numerator disaggregates have been changed to capture Age/Sex by ART Status.

PEPFAR Support definition:

Standard definition of DSD and TA-SDI used.

Provision of key staff or commodities for TB cases receiving HIV-related services includes: funding of test kits, ARVs, ARTs, and lab commodities or funding of salaries or provision of Health Care Workers for TB/HIV-related services. Staff responsible for maintaining patient records are included in this category however staff responsible for fulfilling reporting and routine M&E requirements are not included.

Ongoing support for TB cases receiving HIV-related services includes: training of TB/HIV service providers, clinical mentoring and supportive supervision of staff at TB/HIV sites, infrastructure/renovation of facilities, support of TB/HIV service data collection, reporting, data quality, QI/QA of TB/HIV services support, ARV consumption forecasting and supply management, support of lab clinical monitoring of patients, supporting patient follow up/retention, support of other TB/HIV programs.

Guiding narrative questions:

1. If % coverage for TB_ART / TB_STAT_POS is less than 90%, please explain why.

2. Describe the sources for the data that you are reporting (i.e., are the data from just PEPFAR-supported facilities or do the data reflect national-level data, including those from non-PEPFAR supported facilities)? As above, please describe the sources of the data you are reporting.
 
Data Visualization & Use Examples:
 
TB_STAT and ART Cascade:
 
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