Indicators and sentinel events
| Sentinel Event | Indicators | Definition | Comments/Notes |
|---|---|---|---|
HIV Diagnosis | Number of persons newly diagnosed with HIV. | Number of HIV+ persons who have been newly diagnosed. | Stratification: 1) Newly diagnosed (by year). 2) All HIV+ (ever). 3) By socio-demographic data (age, sex, geographical location). |
Enrolment in care | 1) Number of HIV+ persons that enrolled in care. 2) % of HIV+ persons that enrolled in care. | Number and proportion of HIV+ persons who were linked into care. | Stratification: 1) Newly diagnosed (by year). 2) Among all HIV+ persons (ever). 3) By socio-demographic data (age, sex, geographical location). |
All CD4 Counts | Baseline CD4 count. | CD4 count at or closest to diagnosis before starting ART. | Can be stratified by socio-demographic data (age, sex, geographical location). |
ART Initiation | 1) Number of HIV+ persons started on ART. 2) % of HIV+ persons started on ART. | Number and proportion of HIV+ persons who ever started ART. | Stratification: 1) By year of diagnosis. 2) Among all HIV+ persons (ever). 3) By socio-demographic data (age, sex, geographical location). |
Current on ART | Number and % of HIV+ persons who are currently on treatment. | This is a cross sectional indicator. We include HIV positive persons who still have ARVs or a valid clinical appointment at the time of measurement. Of note, this indicator provides a grace period of 30 days. | Stratification: 1) By year of diagnosis. 2) Among people initiated on ART. 3) By socio-demographic data (age, sex, geographical location). |
All VL Results | 1) Number and % of HIV+ persons who are currently on treatment that are virally suppressed. 2) Number and % of HIV+ persons who are virally suppressed. | 1) Number and proportion of HIV+ persons who are determined to be currently on treatment and should have a VL (6 or more months on treatment) that are virally suppressed (<1,000 copies/ml). 2) On a population level: How many HIV+ persons (regardless of treatment status) are virally suppressed. | 1) Can be stratified by socio-demographic data (age, sex, geographical location). 2) The 2nd indicator currently not on dashboards but attaining 73% measures achievement on 90-90-90. |
Regimen Change | 1) Number of HIV+ persons on 1st, 2nd 3rd line regimens. 2) % of HIV+ persons on 1st, 2nd and 3rd line regimens. 3) Distribution of initial regimen for HIV+ persons who ever started ART. | 1) Number and proportion of HIV+ who are currently on ART and distribution of the regimens they are currently on. 2) Distribution of initial regimens for HIV+ persons who ever started ART. | Stratification: 1) By socio-demographic data (age, sex, geographical location). 2) Trends/transitions of regimens overtime. 3) Paediatric regimens. Can be included in surveillance for early warning indicators for HIV drug resistance. |
Death | Number of HIV+ persons who have died. | Number of HIV+ persons who have died. | 1) Can be stratified by socio-demographic data (age, sex, geographical location). 2) Trends in deaths overtime. 3) All cause of death included. 4) When cause is available - we can stratify. |