(TB_STAT includes TB_STAT_POS)Percentage of new and relapse TB cases with documented HIV status

Export Indicator

Percentage of new and relapse TB cases with documented HIV status
What it measures

This indicator measures the performance of the TB program in ensuring that TB cases know their HIV status.

Numerator

Number of new and relapse TB cases with documented HIV status, during the reporting period. 

Denominator

Total number of new and relapsed TB cases, during the reporting period

Calculation

Sum across all quarters

Method of measurement

The numerator and denominator can be obtained from basic management unit TB registers as well as additional data collection sources (i.e. HIV testing registers) that may contain relevant information (i.e. HIV test results, enrollment in HIV care programs). Programs should modify the register as needed to easily capture this information (<15 M, 15+ M, <15 F, 15+ F)) and (Known HIV-positive at service entry). The data source is the TB register. There is a risk of double counting as TB patients could be tested multiple times during their TB treatment, therefore partners should ensure a data collection and reporting system is in place to minimize double counting. There is also a risk of undercounting if those patients who already knew their HIV status prior to attending TB clinic are not documented, therefore the TB register at a minimum should document “Known HIV-positive at service entry; Newly tested HIV-positive; Tested HIV negative”. (As this is a status indicator and not a testing indicator - These patients should also be counted in the general HTS indicator “HTS_TST” TB service delivery modality).

How to review for data quality:

Only one disaggregation type is used for age and gender (coarse age and gender disaggregations) Denominator ≥ Numerator. Numerator ≥ subtotal of each of the disaggregations. Denominator ≥ subtotal of each of the disaggregations.

Measurement frequency

How often to report:

Semi-Annually

Reporting level

Site level: facility

Disaggregation

Numerator: Number of new and relapse TB cases with documented HIV test results, during the reporting period.

Denominator: Total number of new and relapsed TB cases, during the reporting period.

Age/Sex (Coarse Disaggregate) (Required) <15 M <, 15+ M, <15 F, 15+F

Age/Sex/Result (Coarse Disaggregate) (Required) <15 M Known HIVPositive at service entry, <15 M Newly tested HIVPositive, <15 F Known HIVPositive at service entry, <15 F Newly tested HIVPositive, 15+ M Known HIVPositive at service entry, 15+ M Newly Tested HIVPositive, 15+ F Known HIVPositive at service entry, 15+ F Newly Tested HIVPositive, <15 M Negative, <15 F Negative, 15+ M Negative, 15+ F Negative

Disaggregate Groups: Age/Sex (Coarse Disaggregate) (Required) <15 M <, 15+ M, <15 F, 15+F

Description of Disaggregate (TB_STAT_pos = age/sex by result disaggregates = <15 M Known HIVPositive at service entry, <15 M Newly tested HIVPositive, <15 F Known HIV-Positive at service entry, <15 F Newly tested HIV-Positive, 15+ M Known HIV-Positive at service entry, 15+ M Newly Tested HIVPositive, 15+ F Known HIV-Positive at service entry, 15+ F Newly Tested HIV-)

 

 

Explanation of the numerator

The numerator can be generated by counting the number of new and relapsed TB cases with documented HIV test results during the reporting period

Explanation of the denominator

The denominator can be generated by counting the number of new and relapse TB cases during the reporting period.

Further information

MER 1.0 to 2.0 Change

Indicator revised so Age/Sex disaggregates aligned across clinical cascade:

- Now includes an option for “known HIV+ at service entry"

- Finer age disaggregates no longer required

-  Disaggregates have been added to denominator

PEPFAR Support definition

Standard definition of DSD and TA-SDI used. Provision of key staff or commodities for TB cases receiving HIV-related services include: 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.

DREAMS SNU Specific Guidance

None