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Capacity to provide basic counselling and testing and to manage clinical services for HIV/AIDS

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Percentage of health facilities that have the capacity and conditions to provide basic HIV counseling and testing and to manage HIV/AIDS clinical services.
Capacity to provide basic HIV counseling and testing and health services is defined as:

a. a system for testing and providing results for HIV infection;
b. systems and qualified staff for pre- and post-test counseling;
c. specific health services relevant to HIV/AIDS, including resources and supplies for providing these services;
d. elements for preventing nosocomial infections; and
e. trained staff and resources providing basic interventions for prevention and treatment for people living with HIV/AIDS.

ID: 
504
Alias: 
 PEPFAR: Percent of health care facilities that have the capacity and conditions to provide basic-level HIV testing and HIV/AIDS clinical management
What it measures: 

Many facilities that provide general curative care are also providing services related to HIV/AIDS and are caring for people living with HIV/AIDS. This may occur in settings that have no specific HIV/AIDS program. For facilities that are providing these services, evaluating the degree to which capacity exists to carry out these HIV services is therefore important. The HIV/AIDS specific services and components identified and defined by this indicator are those that both support HIV/AIDS services and can reasonably be expected to exist in almost any health facility.

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
3. Number of facilities at which all components for all individual services and items (a, b, c, d
or e) existand e) 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 in all relevant service areas. HIV/AIDS service providers should also be interviewed. See Annex 1 of the WHO/UNAIDS C&S M&E Guide for details of the individual items identified for each of these, including detailed measurement instructions.
Data Collection
Data Collection Method: 
Survey: health facility
Observation
Measurement Frequency: 
Every 2-4 years
Epidemic Type: 
Concentrated/low level
Generalized
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
HIV Status: 
N/A
Service Type: 
N/A
Condom Type: 
N/A
Strengths and weaknesses: 

Although the objective is to determine the percentage of facilities that have all items within all service 
item areas (a, b, c, d and e), few, if any, facilities will have this level of services. In many settings, facilities do not have all items for each service. The specific items to support each service should therefore be presented individually. This indicator does not provide individual information for voluntary counselling and testing services or for services for preventing the mother-to-child transmission of HIV except if: 1) the services are integrated within the health facility and 2) the components of these services are relevant to the areas assessed. The list of components (for CS6a) also excludes facilities that only conduct or refer for pre-employment HIV tests, excludes testing blood prior to transfusion and excludes facilities that refer people living with HIV/AIDS to another facility for assessment and testing if the referral facility is responsible for further services.

Preferred Indicator: 
TBD
Agency: 
World Health Organisation (WHO)
Status: 
Active
Document link: 
(1.19 MB)
WHO. National AIDS Programmes. A guide to monitoring and evaluating HIV/AIDS care and support, 2004 (427.59 KB)
CS6, pg 24
Office of US Global AIDS Coordinator. The President's Emergency Plan for AIDS Relief: Next Generation Indicators Reference Guide. July 2009 (2.62 MB)
C2.9.N PEPFAR Recommended Indicator, Not in Core Set
Keywords
Programme Focus General: 
Infrastructure
Programme Focus Specific: 
Testing & Counseling
Goal - Initiative or Country: 
Initiative