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.
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.
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
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
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.