Health facilities providing comprehensive care referrals for HIV/AIDS care and support

Export Indicator

Percentage of facilities that provide comprehensive care referrals for HIV/AIDS care and support services when these services are not available on site. Effective referral is defined as having a referral form or list that identifies specific referral site
What it measures

All people living with HIV/AIDS require a range of comprehensive care and support services depending on the stage of their infection and their psychosocial needs. Any provider who works with people living with HIV/AIDS needs to know where they can receive the services needed. This indicator attempts to identify whether referral systems are in place in sites in which only some services (such as counselling and testing) are present. Referrals can be made to the following services.
Health services. HIV testing and pre- and post-test counselling; outpatient or inpatient treatment of opportunistic infections and other HIV-related conditions; preventive therapies for opportunistic infections, including tuberculosis; symptomatic palliative care; and antiretroviral combination therapy.
Psychological services. Emotional support and follow-up counselling; support groups and/or post-test clubs for people living with HIV/AIDS; and spiritual support.
Social and legal support. Community- and home-based organizations and faith-based organizations or other organizations that offer material, food, financial, or legal support (such as succession planning and will-writing) for people living with HIV/AIDS and/or their families.
Support for orphans and vulnerable children. Community-based organizations and faith-based organizations or other organizations strengthen care and support interventions for orphans and vulnerable children affected by HIV/AIDS.

Rationale
Numerator

Number of health facilities providing comprehensive care referrals for HIV/AIDS care and support services

Denominator

Total number of health facilities surveyed that do not provide all HIV/AIDS care and support services on site

Calculation

Data will be collected through a facility survey at points of service for the diagnosis of HIV and/or
clinical care for people living with HIV/AIDS.

Method of measurement

Data will be collected through a facility survey at points of service for the diagnosis of HIV and/or clinical care for people living with HIV/AIDS. For each service defined above, the facility should refer for each as directed below.
Referrals to services: If the facility does not provide the service, they should have a functional referral system. To assess this, providers can be asked whether: • a referral directory is available listing services in the area, including the name and contact information for the service; • a written referral form is available for surveyors to see that allows providers to fill in the name and location of referral services; and • a register exists in which surveyors can see where referrals that have been made are recorded. A facility that is clearly responsible for only a specialty service and that is accessed through provider referral should not be part of the facilities chosen to participate in the survey.

Measurement frequency

Every 2-4 years

Disaggregation

Age group:

Education: N/A

Gender: N/A

Geographic location: N/A

Pregnancy status: N/A

Sector: N/A

Target: N/A

Time period: N/A

Type of orphan: N/A

Vulnerability status: N/A

Explanation of the numerator
Explanation of the denominator
Strengths and weaknesses

Although this indicator looks at the existence of a functional referral system, it cannot measure the outcome of the referrals: whether people follow through on the referral or receive the service at the referral facility. Special studies would be required to assess the extent to which people living with HIV/AIDS and their families are receiving services across the continuum.

Further information