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Capacity to provide advanced clinical and psychosocial support services for HIV/AIDS

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Percentage of health facilities that have the capacity and conditions to provide advanced HIV/AIDS clinical care and psycho-social support services, including providing and monitoring antiretroviral combination therapy
Capacity to provide advanced HIV/AIDS care is defined as: (a) systems and items to support the management of opportunistic infections and the provision of palliative care (symptomatic treatment) for the advanced care of people living with HIV/AIDS; (b) systems and items to support advanced services for the care of people living with HIV/AIDS; (c) systems and items to support antiretroviral combination therapy; (d) conditions to provide advanced inpatient care for people living with HIV/AIDS; (e) conditions to support home care services; and (f) postexposure prophylaxis.

ID: 
111
Alias: 
Global Fund: Health facilities capable of providing advanced HIV clinical care and psychosocial support services for HIV-infected persons
What it measures: 

This indicator measures the availability of advanced services specific to people living with HIV/AIDS. It is assumed that the services and items measured in this indicator require substantial input and personnel training beyond what is routine for most health systems.

Numerator: 

1. Number of facilities at which the individual items for each service or item listed above exist 2. Number of facilities at which all components for each individual service or item (a, b, c, d, e or f) exist 3. Number of facilities at which all components for all individual services and items (a, b, c, d, e and f) exist

Denominator: 

For 1, the total number of health facilities surveyed For 2 and 3, the total number of health facilities at which HIV/AIDS services in each of the areas identified in the definition are offered or relevant

Data Type: 
Percent
Unit: 
N/A
Multiplier: 
N/A
Composite Indicator: 
Yes
Method of measurement: 
This information should be collected through a health facility survey with observation in all relevant service areas. Like core indicator 6, interviews of HIV/AIDS service providers would also be needed. The specific items for each service should be presented individually and at a first level of aggregation (all components of each service or item). When a reasonable proportion of facilities begin to have all first-level aggregated components, a second-level aggregation can be presented when appropriate.
Data Collection
Data Collection Method: 
Survey: health facility
Measurement Frequency: 
Every 2-4 years
Indicator Type: 
Infrastructure
Indicator Level: 
National
Disaggregations
Education: 
N/A
Gender: 
N/A
Geographic Location: 
N/A
Pregnancy: 
N/A
Sector: 
N/A
Target: 
N/A
Time Period: 
N/A
Type of Orphan: 
N/A
Vulnerability Status: 
N/A
Strengths and weaknesses: 

This indicator examines advanced HIV/AIDS services among all health facilities. In some settings, facilities will not have all items for each item or component, and countries may have different strategies for providing select advanced services at only certain levels of the health care system (that is, referral hospitals may offer a wider range of advanced care than health centres). Although this indicator does not stratify by level of health care facility, managers of national AIDS programmes can analyse this information if desired.

Preferred Indicator: 
TBD
Agency: 
World Health Organisation (WHO)
Relevance: 
N/A
Status: 
Active
Document link: 
GFATM. Monitoring and evaluation toolkit. HIV/AIDS, tuberculosis and malaria, 2006 (400.12 KB)
Annex: Treatment Indicator (HIV TI 2), pg 22
WHO. National AIDS Programmes. A guide to monitoring and evaluating HIV/AIDS care and support, 2004 (427.59 KB)
Care and support indicator 7 (CS7), pg 25
Keywords
Programme Focus General: 
Care & Support
Infrastructure
Treatment
Programme Focus Specific: 
Antiretroviral Therapy (ART)
Opportunistic Infections (OI)
Site / Setting: 
Health Care Setting
Goal - Initiative or Country: 
N/A