Number of health-care facilities providing ART services for people living with HIV with demonstrable infection control practices that include TB control
This indicator measures if health facilities receiving a large number of people living with HIV have implemented measures to prevent the risk of person to person transmission of TB.
TB infection control is part of the "3 I's" strategy in controlling the TB/HIV epidemics (together with intensified TB case finding and isoniazide preventive therapy).
Number of health care facilities providing ART services for people living with HIV with demonstrable TB infection control practices consistent with international guidelines
The existence of a written infection control policy that addresses TB and is consistent with international guidelines is the first basic step in ensuring TB infection control in health-care facilities providing (ART) services for people living with HIV. However, the existence of a policy does not mean that it is effectively implemented. Further inquiry will be needed to establish whether the infection control policy is implemented and adhered to. Analysis of policy involves subjective judgment, which can limit its use in cross-national comparisons and for capturing trends over time.
This indicator goes a step beyond measuring the simple existence of an infection control policy by defining the standards that must be met in order for there to be an acceptable practice that addresses the issue of control of TB infection in health-care facilities providing (ART) services for people living with HIV according to international guidelines, thus eliminating some, though not all, subjective judgment.
Additional considerations: Responsibility: HIV programmes
Data utilization: 100% target; all health facilities that offer antiretroviral therapy should have implemented TB infection control to prevent the transmission of TB from person to person
Other References: Guide to monitoring and evaluation for collaborative TB/HIV activities available at: