Number of adults and children living with HIV who receive care and support services outside facilities during the reporting period

Export Indicator

Number of adults and children living with HIV who receive care and support services outside facilities during the reporting period
What it measures

This indicator tracks information on the level of coverage and care and support provided outside facilities (at the household and community levels) to people living with HIV.

Rationale

Adults and children living with HIV should receive a comprehensive package of services (see below) to
improve the quality of life, extend life and delay the need for antiretroviral therapy. Care and support
programs can cover external support, including counseling, health care, help with household work,
companionship, financial support, legal services and access to shelter or other social services. The
goal should be to provide services in different domains and to provide these services using a holistic
approach, from the time of HIV diagnosis. Many of these services are provided outside the formal health
care system and take place at the household level and some at the community level.

Numerator

Number of adults and children living with HIV who received at least one service from the
essential package (regardless of the number of service provision episodes) outside a health facility during
the reporting period

Denominator

Not applicable

Calculation

Not applicable

Method of measurement

To ensure quality care, all people living with HIV should receive health care support for their illness
regardless of whether that support takes place within a facility or outside of a facility. There may be
country-specific approaches to grouping services into the major care and support categories. However,
to be counted in this numerator, a person living with HIV must receive at least one service from the
essential package of services, and that service must take place outside a health facility. For the purposes
of reporting on this indicator, “outside a facility” may refer to community gatherings, mobile units or
home-based care settings. Services provided in primary, secondary or tertiary health facilities or hospitals
should not be counted here.c
An essential package of services for people living with HIV is recommended to include:
-health care and home-based care, such as counseling on and monitoring of adherence to antiretroviral therapy; pain management; and referral of people suspected of having TB;
-spiritual and psychosocial support, such as participation in self-help groups and peer counseling related to hopes, fears, meaning, guilt, etc.; mental health; succession planning; and preparing for and coping with the process of dying;
-socioeconomic support, such as nutritional support; social and health insurance; social patronage; and financial support;
-legal and human rights, such as legal aid; protection against violence and discrimination; stigma; and child protection services; and
- integrated disease prevention services with care, such as HIV risk reduction messaging and counseling.

Disaggregation: sex, age, service provider and location depending on the country-specific needs

Data can be obtained from all HIV care and support service providers in the country or region. These
might include:
-individual nongovernmental organizations;
-individual private organizations; and
-individual public (government) organizations, such as social services within the relevant ministries.

Frequency: Quarterly
Data are aggregated at the central level on a regular basis. A single body (usually the national M&E unit)
should be responsible for data aggregation, analysis and dissemination. Double counting (such as people
receiving services from different providers) needs to be avoided.

Measurement frequency
Disaggregation

Condom type: N/A

Education: N/A

Gender: Male, Female

Geographic location: N/A

HIV status: N/A

Pregnancy status: N/A

Sector: N/A

Service Type: N/A

Target: N/A

Time period: N/A

Type of orphan: N/A

Type/Timing of testing: N/A

Vulnerability status: N/A

Explanation of the numerator
Explanation of the denominator
Strengths and weaknesses
Further information