The operational plan for the Comprehensive HIV and AIDS by roq91753

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1.     INTRODUCTION


The operational plan for the Comprehensive HIV and AIDS Care, Management and
Treatment for South Africa approved by Cabinet in November 2003 also emphasised the
need to establish a monitoring and evaluation framework for the Plan. In May 2004, the
Department of Health hosted a two-day consultative workshop whereby role players from
various sectors were given the opportunity to contribute in the development of the
framework. In September 2004, a the final framework was published consisting a l set of
input, process, output, outcome and impact indicators for use in monitoring and
evaluating the implementation of all the components of the Comprehensive HIV and AIDS
Care, Management and Treatment Plan.


The technical notes document presents the meanings and definitions of indicators, their
numerators and denominators, sources and frequency of collection. The document is also
important to ensure standardisation of definitions of data elements, their collection and
analysis of indicators at various levels of health service delivery.




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2.     INPUT, PROCESS AND OUTPUT INDICATORS
2.1 BUDGETS AND EXPENDITURE INDICATORS


Indicator:                  Monthly e xpenditure on personnel per category by pro vince,
                            conditional grant and donor funding
Rationale:                  Measures expenditure on personnel employed to deliver
                            Comprehensive HIV and AIDS Plan at accredited service
                            points
Description:                Expenditure on staff actually in post for a specific category
Numerator:                  Expenditure on personnel by category
Denominator:                Not applicable
Data element:               Expenditure on full time employed by category including
                            doctors, nurses, pharmacists, nutritionists/dieticians, social
                            workers, counsellors, data clerks
Data domain:                Finance-personnel
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     Basic Accounting Systems, Persal

Indicator:                  Monthly e xpenditure on drugs by province
Rationale:                  Measures expenditure on drugs used in the comprehensive
                            HIV and AIDS plan for prevention of opportunistic infections
                            and management of patients as outlined in the National
                            Antiretroviral Treatment Guidelines
Description:                Expenditure on the purchase of AR V drugs
Numerator:                  Expenditure by individual drug
Denominator:                Not applicable
Data element:               Expenditure by individual drug, namely, Co-trimoxazole,
                            Isoniazid, Flucanozole, Rifimpacin, Abacavir (ABC),
                            Didanosine (ddL), Efavirenz (EFV), Lamivudine (3TC),
                            Nevirapine (NVP), Zidovudine (AZT), Stavudine (D4T),
                            Lopinavir (LPV), Ritonavir (RTV)
Data domain:                Finance-pharmaceutical
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     Drug Information Inventory System




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Indicator:                  Monthly expenditure on nutrition by province, conditional grant
                            and donor funding
Rationale:                  Measures expenditure on nutrition supplements and
                            micronutrients provided to eligible persons as defined in the
                            Comprehensive HIV and AIDS Plan
Description:                Expenditure on the purchase of nutrition supplements and
                            micronutrients
Numerator:                  Expenditure by nutrition supplements and micronutrients
Denominator:                Not Applicable
Data element:               Expenditure by nutrition supplements and micronutrients
Data domain:                Finance-Nutrition related aspects
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     Basic Accounting Systems

Indicator:                  Monthly e xpenditure on HIV and AIDS laboratory tests by
                            province, conditional grant and donor funding
Rationale:                  Measures expenditure on all laboratory testing done on
                            patients in accordance with National Antiretroviral Treatment
                            Guidelines
Description:                Expenditure on the purchase of laboratory tests done
Numerator:                  Expenditure by laboratory tests
Denominator:                Not applicable
Data element:               Expenditure on laboratory tests, namely, CD4, viral load, ALT,
                            FBC, Fasting cholesterol and triglyceride, fasting glucose
Data domain:                Finance-laboratory tests
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     National Health Laboratory Services




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2.2    HUMAN RESOURCES AND TRAINING INDICATORS

Indicator:                  Full time equivalent (FTE) per category as proportion of
                            required personnel per month
Rationale:                  Measures the gap between the required number per category
                            and number of employed staff
Description:                Doctors, nurses, pharmacists, nutritionists/dieticians, social
                            workers, counsellors and data clerks required and those who
                            are actually employed to deliver comprehensive HIV and AIDS
                            plan
Numerator:                  Number of FTE per category (doctors, nurses, pharmacists,
                            nutritionists/dieticians, social workers, counsellors and data
                            clerks)
Denominator:                Required number of personnel per category
Data element:               Full time equivalent staff and required staff
Data domain:                Human resources-planning
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     Persal

Indicator:                  Annual turnover rate by category of personnel
Rationale:                  Determines the number of staff actually leaving the
                            HIV and AIDS Programme due to retirement, resignation,
                            promotion/transfer to other services or any other reasons
Description:                measures both resignation, and loss to the health system and
                            rotation (i.e. redeployment within the health system).
Numerator:                  Number of personnel by category who left the HIV and AIDS
                            Programme
Denominator:                Number of staff employed plus those who left (by category) in
                            a particular year
Data element:               Personnel by category retired, resigned, promoted/transferred
                            to other services left the programme for any other reasons
Data domain:                Human resources-planning
Data Type:                  Numeric
Frequency of Reporting:     Annually
Source:                     Persal

Indicator:                  Number of quality assurance and health training centres in
                            each province in a year
Rationale                   Monitor the progress on establishing the Quality Assurance
                            and Health Training Centres in provinces
Description:                Quality Assurance and Health Training Centres to conduct
                            training of staff employed to deliver comprehensive HIV and
                            AIDS Plan
Numerator:                  Quality Assurance and Health Training Centres established in
                            each province
Data element:               Quality Assurance and Health Training Centres
Data domain:                Human resources-development
Data Type:                  Numeric
Frequency of Reporting:     Annually
Source:                     Provincial Reports
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Indicator:                  Percentage of staff trained and certified per category of
                            personnel by Quality Assurance and Health Training Centres
                            in each quarter of the year
Rationale:                  Monitors output of Quality Assurance and Health Training
                            Centres in ensuring the availability of properly trained
                            personnel at accredited service points
Description:                Staff at accredited service points who have completed a
                            prescribed training course provided by a Quality Assurance
                            and Health Training Centre
Numerator:                  Number of staff trained and certified per category of personnel
                            by Quality Assurance and Health Training Centres
Denominator:                Total number of staff per category employed to deliver
                            comprehensive HIV and AIDS Plan
Data element:               People trained and certified per category by Quality Assurance
                            and Health Training Centres
Data domain:                Human resources-development
Data Type:                  Numeric
Frequency of Reporting:     Quarterly
Source:                     Facility Routine Data


Indicator:                  Number of people per category planned to be certified by
                            Quality Assurance and Health Training Centre in each quarter
                            of the year
Rationale:                  Track the number of staff per category planned to be certified
                            by a Quality Assurance and Health Training Centre
Description:                Staff who are currently attending a prescribed training course
                            provided by a Quality Assurance and Health Training Centre
Numerator:                  Number of people per category planned to be certified by
                            training centre
Denominator:                Number of people per category in each training centre
Data element:               People per category planned to be certified by training centre
Data domain:                Human resources-development
Data Type:                  Numeric
Frequency of Reporting:     Quarterly
Source:                     Facility Routine Data




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2.3 ACCREDITATION OF SERVICE POINTS


Indicator:                  Percent of functioning accredited service points per district in a
                            month
Rationale:                  Measures the accessibility of adults and children patients in
                            terms of availability of HIV and AIDS services at five days per
                            week in accredited service points
Description:                Accredited service points providing services of the
                            Comprehensive HIV and AIDS Plan in at least 5 days a week
Numerator:                  Number of accredited service points that are providing
                            Comprehensive HIV and AIDS plan this month
Denominator:                Number of service points assessed for accreditation in district
Data element:               Functioning accredited service points
Data domain                 ART service points
Data Type:                  Numeric
Frequency of Reporting:     Quarterly
Source:                     Monthly Data Collection Tool




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2.4 LABORATORY SERVICES INDICATORS


Indicator:                  Percentage of laboratories performing within EQA standards
Rationale:                  Monitor the quality of services provided by the
                            accredited/certified laboratories that provide CD4 and viral
                            load testing for the Comprehensive HIV and AIDS Plan
Description:                Laboratories found to be in compliance with EQA standards
Numerator:                  Number of laboratories performing CD4 and viral load testing
                            within EQA standards
Denominator:                Total number of laboratories performing CD4 and viral load
                            testing for the Comprehensive HIV and AIDS Plan
Data element:               Laboratories performing within EQA standards
Data domain:                Laboratories-
Data Type:                  Numeric
Frequency of Reporting:     Quarterly
Source:                     National Health Laboratory Services


Indicator:                  Percentage of CD4 counts results received by clinician < 6
                            days
Rationale:                  Measures the turn-around time of CD4 tests from the day
                            specimen was sent by the accredited service point to the
                            laboratory to the time the results reached the clinicians at
                            accredited service points. The turn around time would be
                            influenced by number of factors including transport between
                            service point and laboratory, laboratory processing,
                            infrastructure including fax, etc
Description:                CD4 testing requested by clinicians in line with laboratory
                            assessment and monitoring as indicated by the National ART
                            Treatment Guidelines
Numerator:                  Number of CD4 counts results received by clinicians within 6
                            days
Denominator:                Total number of CD4 tests requested
Data element:               CD4 counts results received by clinician, dates when the
                            specimen dispatched to the laboratory and when clinicians
                            received the specimen results
Data domain                 Laboratory- CD4
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     National Health Laboratory Information




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Indicator:                  Percentage of Viral loads results received by clinician < 6 days
Rationale:                  Measures the turn-around time of viral load tests from the day
                            specimen was sent by the accredited service point to the
                            laboratory to the day the results reached the clinician at the
                            accredited service point. Description:   Viral load testing
                            requested by clinicians in line with laboratory monitoring as
                            indicated by the National ART Treatment Guidelines
Numerator:                  Number of Viral Loads results received < 6 days
Denominator:                Total number of Viral Loads tests requested
Data element:               Viral loads results received by clinician, dates when the
                            specimen dispatched to the laboratory and when clinicians
                            received the specimen results
Data domain                 Laboratory- Viral load
Data type:                  Numeric
Frequency of reporting:     Monthly
Source:                     National Health Laboratory Information


Indicator:                  Number of corrective actions taken on turn around time by
                            NHLS
Rationale:                  Specifies and measure the number of corrective actions that
                            were instituted on turn-around time
Description:                Corrective actions taken to address poor turn around time
Numerator:                  Number of corrective actions taken
Denominator:                Not applicable
Data element:               Corrective actions taken on turn around time by NHLS
Data domain                 Laboratory-
Data type:                  Numeric
Frequency of reporting:     Quarterly
Source:                     National Health Laboratory Services


Indicator:                  Number of CD4 counts completed per month
Rationale                   Measures the output of laboratory services in terms of the
                            CD4 count testing that were completed per month
Description:                Specimen received by laboratories for which CD4 testing was
                            done per month and results were sent to the requesting
                            service points
Numerator:                  Number of CD4 counts completed per month
Denominator:                Not applicable
Data element:               CD4 counts completed/Month
Data domain                 Laboratory
Data type:                  Numeric
Frequency of reporting:     Monthly
Source:                     National Health Laboratory Services




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Indicator:                  Number of CD4 counts <200 cells/mm 3 per month
Rationale:                  Estimates the number of persons that would require ART
Description:                Results of CD4 counts <200 cells/mm 3
Numerator:                  Number of CD4 <200cells/mm 3 per month
Denominator:                Total number of CD4 tests done in the same month
Data element:               CD4 count <200cells/mm 3 this month
Data domain:                Laboratory-CD4
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     National Health Laboratory Services

Indicator:                  Number of CD4 counts <50 cells/mm 3 per month
Rationale:                  Estimates number of persons who may be severely immune
                            compromised or most likely to suffer side effects to medication
Description:                Results of CD4 counts <50 cells/mm 3 per month
Numerator:                  Number of CD4 counts <50 cells/mm 3 per month
Denominator:                Not applicable
Data element:               CD4 counts <50 cells/mm 3 per month
Data domain:                Laboratory
Data Type:                  Numeric
Frequency of Reporting:     Quarterly
Source:                     National Health Laboratory Services
Indicator:                  Number of CD4 counts <15% per month
Rationale:                  Measures the number of infants with CD4 counts <15 % in a
                            month
Description:                Results of CD4 counts <15% among infants
Numerator:                  Number of CD4 counts results of <15% per month
Denominator:                Not applicable
Data element:               CD4 counts <15%/Month
Data domain                 Laboratory
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     National Health Laboratory Services

Indicator:                  Number of viral loads completed per month
Rationale:                  Measures the output of laboratory services in terms of the viral
                            load testing that were completed per month
Description:                Specimen received by laboratories for which viral load testing
                            was done per month and results were sent to the requesting
                            service points
Numerator:                  Number of viral loads completed per month
Denominator:                Not applicable
Data element:               Viral loads completed/Month
Data domain:                Laboratory
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     National Health Laboratory Services



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Indicator                   Number of ALT tests per month
Rationale:                  Measures the output of laboratory services in terms of the ALT
                            tests that were completed per month
Description:                Specimen received by laboratories for which ALT tests were
                            done per month and results were sent to the requesting
                            service points
Numerator:                  Number of ALT tests completed per month
Denominator:                Not applicable
Data element:               ALT tests completed/Month
Data domain:                Laboratory
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     National Health Laboratory Services

Indicator:                  Number of FBC done per month
Rationale:                  Measures the output of laboratory services in terms of the
                            FBC tests that were done per month
Description:                Specimen received by laboratories for which FBC tests were
                            done per month and results were sent to the requesting
                            service points
Numerator:                  Number of FBC tests completed per month
Denominator:                Not applicable
Data element:               FBC tests done at baseline, 3 months, 6 monthly
Data domain:                Laboratory
Data Type:                  Numeric
Frequency of Reporting:     At baseline, 3 months, 6 monthly
Source:                     National Health Laboratory Services


Indicator:                  Number of fasting cholesterol tests done
Rationale:                  Measures the output of laboratory services in terms of the
                            fasting cholesterol tests that were done per month
Description:                Specimen received by laboratories for which fasting
                            cholesterol tests were done per month and results were sent
                            to the requesting service points
Numerator:                  Number of fasting cholesterol tests completed per month
Denominator:                Not applicable
Data element:               fasting cholesterol tests at baseline,
                            6 months & then annually
Data domain:                Laboratory
Data Type:                  Numeric
Frequency of Reporting:     At baseline, 6 months & then annually
Source:                     National Health Laboratory Services




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Indicator:                  Number of fasting triglyceride tests done
Rationale:                  Measures the output of laboratory services in terms of the
                            fasting triglyceride tests that were done per month
Description:                Specimen received by laboratories for which fasting
                            triglyceride tests were done per month and results were sent
                            to the requesting service points
Numerator:                  Number of fasting triglyceride tests completed per month
Denominator:                Not applicable
Data element:               fasting triglyceride tests at baseline,
                            6 months & then annually
Data domain:                Laboratory
Data Type:                  Numeric
Frequency of Reporting:     At baseline, 6 months & then annually
Source:                     National Health Laboratory Services

Indicator:                  Number of fasting glucose tests done
Rationale:                  Measures the output of laboratory services in terms of the
                            fasting glucose tests that were done per month
Description:                Specimen received by laboratories for which fasting glucose
                            tests were done per month and results were sent to the
                            requesting service points
Numerator:                  Number of fasting glucose tests completed per month
Denominator:                Not applicable
Data element:               Fasting glucose tests at baseline, 6 months & then annually
Data domain:                Laboratory
Data Type:                  Numeric
Frequency of Reporting:     At baseline, 6 months & then annually
Source:                     National Health Laboratory Services




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2.5 NUTRITION RELATED INDICATORS

Indicator:                  Percentage of accredited service points that receive nutritional
                            supplements
Rationale:                  Monitors the receipt of monthly supplies of ordered nutritional
                            supplements at the accredited service points
Description:                Service points that received monthly supplies of ordered
                            nutritional supplements
Numerator:                  The number of accredited sites that receive nutritional
                            supplements
Denominator:                Total number of accredited sites
Data element:               Accredited service points that received nutritional supplements
                            ordered this month
Data domain:                Nutrition
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     Monthly Data Collection Tool


Indicator:                  Percentage of ordered supplement meals received
Rationale:                  Monitors the receipt of monthly supplies of ordered
                            supplement meals ordered at the accredited service points
Description:                Service points that received monthly supplies of ordered
                            supplement meals
Numerator:                  Amount of supplement meals received Denominator: Total
                            amount of supplement meals ordered X 100
Data element:               Accredited service points that receive the quantity of
                            supplement meals ordered
Data domain:                Nutrition
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     Monthly Data Collection Tool


Indicator:                  Percentage of ordered micronutrient supplements received.
Rationale:                  Monitors the receipt of monthly supplies of ordered
                            micronutrient supplements at the accredited service points
Description:                Service points that received monthly supplies of ordered
                            micronutrient supplements
Numerator:                  Amount of micronutrient supplements received
Denominator:                Total amount of micronutrient supplements ordered X 100
Data element:               Accredited service points that receive the quantity of
                            micronutrient supplements ordered
Data domain:                Nutrition
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     Monthly Data Collection Tool




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Indicator:                  Percentage of accredited service points that experience being
                            out of stock of supplementary meals at any time
Rationale:                  Measures the percentage of accredited service points that
                            experience a stock-out of supplementary meals expected to
                            be issued in a particular month
Description:                An y accredited service point that experience a stock-out of
                            supplementary meals expected to be issued in a particular
                            month
Numerator:                  Number of service points out of stock of supplementary meals
Denominator:                Total number of service points, issuing supplement meals
Data element:               Service points that experience being out of stock of
                            supplementary meals at any time
Data domain:                Nutrition
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     Monthly Data Collection Tool


Indicator:                  Percentage of accredited service points that experience being
                            out of stock of micronutrient supplements at any time
Description:                Measure of total of service points that run out of micronutrient
                            supplements at any time
Numerator:                  Number of service points experiencing being out of stock of
                            micronutrient supplements
Denominator:                Total number of service points, issuing micronutrient
                            supplements.
Data element:               Service points that experience being out of stock of
                            micronutrient supplements at any time
Data domain:                Nutrition
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     Monthly Data Collection Tool


Indicator:                  Number of supplementary meals issued per month
Description:                Measure of a total and type of supplementary meals available
                            and issued per month per specific facility
Numerator:                  Number of supplementary meals issued per month
Denominator:                Number of supplementary meals received
Data element:               Supplementary meals available and issued per month
Data domain:                Supplementary meals
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     Monthly Data Collection Tool ,




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Indicator:                  Number of micronutrient supplements issued per month
Description:                Measure of a total and type of micronutrient supplements
                            available and issued per month per specific facility
Numerator:                  Number of micronutrient supplements issued per month
Denominator:                Number of micronutrient supplements received
Data element:               Micronutrient supplements available and issued per month
Data domain:                Supplementary meals
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     Monthly Data Collection Tool

Indicator:                  Percentage of HIV + adults on antiretroviral therapy, receiving
                            supplement meals and micronutrient supplements
Description:                Identifies patients that qualifies for receiving supplement
                            meals and micronutrient supplement
Numerator:                  Patients on antiretroviral therapy, receiving supplement meals
                            and micronutrient supplements
Denominator:                Total number of patients on antiretroviral therapy
Data element:               Eligible patients receiving a supplement meal and or
                            micronutrient supplement
Data domain:                HIV positive patients, patients on antiretroviral therapy,
                            children diagnosed with HIV, pregnant women
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     Monthly Data Collection Tool

Indicator:                  Percentage of HIV+ children on antiretroviral therapy,
                            receiving supplement meals and micronutrient supplements
Description:                Identifies patients that qualifies for receiving supplement
                            meals and micronutrient supplement
Numerator:                  Patients on antiretroviral therapy, receiving supplement meals
                            and micronutrient supplements
Denominator:                Total number of patients on antiretroviral therapy
Data element:               Eligible patients receiving a supplement meal and or
                            micronutrient supplement
Data domain:                HIV positive patients, patients on antiretroviral therapy,
                            children diagnosed with HIV, pregnant women
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     Monthly Data Collection Tool




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Indicator:                  Percentage of HIV+ children receiving supplement meals and
                            micronutrient supplements in a month
Description:                Identifies patients that qualifies for receiving supplement
                            meals and micronutrient supplement
Numerator:                  Number of children diagnosed with HIV receiving supplement
                            meals and micronutrient supplements
Denominator:                Total number of children diagnosed with HIV
Data element:               Eligible children diagnosed with HIV receiving a supplement
                            meal and or micronutrient supplement
Data domain:                HIV positive patients, patients on antiretroviral therapy,
                            children diagnosed with HIV, pregnant women
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     Monthly Data Collection Tool


Indicator:                  Percentage of HIV+ adults receiving supplement meals and
                            micronutrient supplements
Description:                Identifies patients that qualifies for receiving supplement
                            meals and micronutrient supplement
Numerator:                  Number of HIV + adults receiving supplement meals and
                            micronutrient supplements
Denominator:                Total number of adults diagnosed with HIV
Data element:               Eligible adults diagnosed with HIV receiving a supplement
                            meal and or micronutrient supplement
Data domain:                HIV positive patients, patients on antiretroviral therapy,
                            children diagnosed with HIV, pregnant women
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     Monthly Data Collection Tool

Indicator:                  Percentage of HIV+ pregnant women with receiving
                            supplement meals and micronutrient supplements
Description:                Identifies patients that qualifies for receiving supplement
                            meals and micronutrient supplement
Numerator:                  Number of HIV+ pregnant women receiving a supplement
                            meals and micronutrient supplement
Denominator:                Total number of HIV+ pregnant women
Data element:               Patients receiving a supplement meal and or micronutrient
                            supplement
Data domain:                HIV positive patients, patients on antiretroviral therapy,
                            children diagnosed with HIV, pregnant women
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     Monthly Data Collection Tool




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Indicator:                  Percentage of persons infected with HIV receiving supplement
                            meals and micronutrient supplements
Description:                Identifies patients that qualifies for receiving supplement
                            meals and micronutrient supplement
Numerator:                  Number of eligible patients receiving a supplement meals and
                            micronutrient supplement
Denominator:                Total number of persons infected with HIV
Data element:               Eligible patients receiving a supplement meal and or
                            micronutrient supplement
Data domain:                HIV positive patients, patients on antiretroviral therapy,
                            children diagnosed with HIV, pregnant women
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     Monthly Data Collection Tool

Indicator:                  Percentage of persons infected with TB receiving supplement
                            meals and micronutrient supplements
Description:                Identifies patients that qualifies for receiving supplement
                            meals and micronutrient supplement
Numerator:                  Number of TB patients receiving a supplement meals and
                            micronutrient supplement
Denominator:                Total number of persons infected with TB
Data element:               Eligible patients receiving a supplement meal and or
                            micronutrient supplement
Data domain:                HIV positive patients, patients on antiretroviral therapy,
                            children diagnosed with TB, pregnant women
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     Monthly Data Collection Tool

Indicator:                  Proportion of patients who experience food-drug interactions
Description:                Measure and identifies the total of patients who are
                            experiencing a reaction as a result of food-drug interaction
Numerator:                  Number of patients who experience food-drug interactions
Denominator:                Number of patients receiving food supplements
Data element:               Patients who experience food-drug interactions
Data domain:                Supplementary meals, micronutrients, stavudine, lamivudine,
                            efavirenz, ne virapine, zidovudine, diainosine, lopinavir/ritonivir
Data Type:                  Numeric
Frequency of Reporting:     Biennially
Source:                     Research




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Indicator:                  Average intake of macronutrients (energy,proteins, and fats)
                            and micronutrients ( vitamins and minerals)
Description:                Measure the intake per day of macronutrients and
                            micronutrient by HIV patients
Numerator:                  intake of macronutrients and micronutrients
Denominator:                Recommended intake of macronutrients and micronutrients
Data element:               Intake of macronutrients and micronutrients
Data domain:                Supplementary meals, micronutrients (i.e. vitamin syrup)
Data Type:                  Numeric
Frequency of Reporting:     Biennially
Source:                     Research




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2.6 DRUG PROCUREMENT AND DISTRIBUTION INDICATORS

Indicator:                  Unit Price trends for drugs year on year – periodic
Rationale:                  Track the trends in prices of the ART drugs in order to assess
                            affordability
Description:                Price at which ART drugs are purchased
Numerator:                  Tender price year 2
Denominator:                Tender price year 1
Data element:               Unit price for individual ART drugs (Abacavir, didanosine,
                            efavirenz, lamivudine, lopinavir, nevirapine, ritonivir,
                            Stavudine, zidovudine)
Data domain:                Pharmaceutical -affordability
Data type:                  Alphanumeric
Frequency of Reporting:     Annually
Source:                     Tender documents,

Indicator:                  Percentage quantity of drugs purchased vs. quantity
                            contracted-periodic
Rationale:                  Measures the percentage difference between the amount of
                            ART drugs contracted in the tender documents and amount
                            purchased
Description:                Quantity of ART drugs contracted and the quantity actually
                            purchased
Numerator:                  Amount of ART drugs contracted minus amount purchased
Denominator:                Amount of ART drugs purchase
Calculation:                Numerator/denominator X 100
Data element:               Quantity of ART drugs contracted in the tender document and
                            quantity purchased (Abacavir, didanosine, efavirenz,
                            lamivudine, lopinavir, nevirapine, ritonivir, Stavudine,
                            zidovudine)
Data domain:                Pharmaceutical-
Data type:                  Numeric
Frequency of Reporting:     Annually
Source:                     Tender documents, Provincial Depots, Drug Inventory
                            Management Information System

Indicator:                  Percentage of accredited service points experiencing stock out
                            of AR Vs drugs at any time in the last month
Rationale:                  Monitors the availability of ART drugs at the accredited service
                            points
Description:                Accredited service point without stock of any ART drug for at
                            any time in a month
Numerator:                  Number of accredited service points without any of ARV drugs
                            at least one day in the last month
Denominator:                Number of accredited service points operating
Data element:               Stock out of an ART drug for at least one day in last month
Data domain:                Pharmaceutical-availability
Data type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     Tender documents, Provincial Depots, Drug Inventory
                            Management Information System
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Indicator:                  Percentage of accredited service points experiencing stock out
                            of Rifampicin at any point in the last month
Rationale                   Monitors the availability of drugs for treatment of TB using
                            Rifampicin as a tracer drug at the accredited service points
Description:                Accredited service point without stock of any TB drug for at
                            any time in a month
Numerator:                  Number of accredited service points without Rifampicin at any
                            point in the last month
Denominator:                Number of accredited service points operating
Data element:               Stock out of TB drug for at least one day in last month
Data domain:                Pharmaceutical-availability
Data type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     Tender documents, Provincial Depots, Drug Inventory
                            Management Information System

Indicator:                  Percentage of accredited service points experiencing stock out
                            of Isoniazid (INH) at any point in the last month
Rationale:                  Monitors the availability of drugs for prevention of opportunistic
                            TB using INH as a tracer drug at the accredited service points
Description:                Accredited service point without stock of INH for at any time in
                            a month
Numerator:                  Number of accredited service points without INH for at least
                            one day in last month
Denominator:                Number of accredited service points
Data element:               Stock out of INH for at least one day in last month
Data domain:                Pharmaceutical-availability
Data type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     Tender documents, Provincial Depot, Drug Inventory
                            Management Information System

Indicator:                  Percentage of accredited service points experiencing stock out
                            of co-trimoxazole at any point in the last month
Rationale:                  Monitors the availability of prophylactic drug co-trimoxazole to
                            prevent opportunist infections
Description:                Accredited service point without stock out of co-trimoxazole
                            (both syrup and tablets) at any point in the last month
Numerator:                  Number of accredited service points without co-trimoxazole at
                            any point in the last month
Denominator:                Number of accredited service points operational
Data element:               Stock out of co-trimoxazole for at least one day in last month
Data domain:                Pharmaceutical-availability
Data type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     Tender documents, Provincial Depots, Drug Inventory
                            Management Information System




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Indicator:                  Percentage of facilities experiencing stock out of basket of
                            tracer drugs at any time in the last month
Rationale:                  Measures the availability of tracer drugs in accredited facilities
Description:                Facilities experiencing stock out of basket of tracer drugs at
                            any time in the last month
Numerator:                  Number of accredited facilities experiencing stock out of
                            basket of tracer drugs at any time in the last month
Denominator:                Number of accredited service points operational
Data element:               Stock out of basket of tracer drugs at any time in the last
                            month
Data domain:                Pharmaceutical-availability
Data type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     Tender documents, Provincial Depots, Drug Inventory
                            Management Information System


Indicator:                  Percentage quantity of drugs ordered vs. quantity received
                            (service level)
Rationale                   Measures the percentage of difference between the amount of
                            ART drugs ordered in the last order period and amount
                            received for that period.
Description:                Quantity of ART drugs received for the last order period and
                            quantity received for the same order period
Numerator:                  Amount of ART drugs received minus amount ordered
Denominator:                Amount ordered
Data element:               Quantity of drugs ordered and received (Abacavir, didanosine,
                            efavirenz, lamivudine, lopinavir, nevirapine, ritonivir,
                            Stavudine, zidovudine)
Data domain:                Pharmaceutical-
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     Tender documents, Provincial Depots, Drug Inventory
                            Management Information System

Indicator:                  Percentage of orders received within the contracted lead-time
Rationale:                  Measure the percentage of orders received within the
                            contracted lead-time
Description:                Orders received within the contracted lead-time
Numerator:                  Number of orders received within the contracted lead-time
Denominator:                Total number of orders placed
Data element:               Orders placed as per drug category
Data domain:                Pharmaceutical-availability
Data type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     Provincial Depot, Drug Inventory Management Information
                            System




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2.7 PATIENT INFORMATION SYSTEMS, MONITORING AND RESEARCH

2.7.1 Patient Information System

Indicator:                  Percentage of service points with functional information
                            systems in the country
Rational:                   Measures expansion of PIS across all service points that are
                            operational to provide regular data to monitor the
                            implementation of the Comprehensive Plan
Description                 Service points with functional information systems in the
                            country
Numerator:                  Number of service points’ PIS containing all patient data
Denominator:                Number of accredited service points
Data element:               Accredited service points with functional information systems,
                            Internet, Software, Computers, Printers, scanners, CD writers,
                            Data flow
Data domain:                PIS availability
Data type:                  Numeric
Frequency of Reporting:     Annually
Source:                     Patient Information Systems



Indicator:                  Availability of patient output and outcome indicators
Rational:                   Measures the achievement of the goals and objectives of the
                            comprehensive plan
Description                 Patient output and outcome indicators
Numerator:                  Number of patient output and outcome indicator available at
                            national and provincial levels
Denominator:                Milestone
Data element:               Indicators, Denominators, Numerators, Data dictionary
Data domain:                Availability of output and outcome indicators
Data type:                  Numeric
Frequency of Reporting:     Quarterly
Source:                     Patient Information System




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2.7.2 RESEARCH INDICATORS

Indicator:                  Proportion of research questions on research projects that
                            have been commissioned
Rationale:                  Measures the number of research questions on research
                            projects commissioned by the Department of Health for the
                            Comprehensive Plan
Description:                Research questions on research projects that have been
                            commissioned
Numerator:                  Number of research questions on research projects that have
                            been commissioned
Denominator:                Total number of research questions initiated on research
                            projects for the Comprehensive plan
Data element:               Research questions (drug resistance, drug toxicity,
                            prevalence, incidence, morbidity, mortality)
Data domain:                Research
Data Type:                  Numeric
Frequency of Reporting:     Annually
Source:                     Research Database

Indicator:                  Project proposal approved by research priority area per year
Rationale:                  Measures the number of project proposal approved by
                            research priority area per year
Description:                Project proposal approved by research priority area per year
Numerator:                  Number of project proposal approved by research priority area
                            per year
Denominator:                Total number of project proposal received for the
                            Comprehensive plan
Data element:               Project proposal (drug resistance, drug toxicity, prevalence,
                            incidence, morbidity, mortality)
Data domain:                Research
Data Type:                  Numeric
Frequency of Reporting:     Annually
Source:                     Research Database

Indicator:                  Project proposals funded by research priority area per year
Rationale:                  Measures     the number project proposals             for the
                            Comprehensive plan funded the Department of Health
Description:                Project proposals funded by research priority area per year
Numerator:                  Number of project proposals funded by research priority area
                            per year
Denominator:                Total number of project proposals approved for the
                            Comprehensive plan
Data element:               Project proposal (drug resistance, drug toxicity, prevalence,
                            incidence, morbidity, mortality)
Data domain:                Research
Data Type:                  Numeric
Frequency of Reporting:     Annually
Source:                     Research Database



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Indicator:                  Proportion of research projects completed by research priority
                            area per year
Rationale:                  Measures achievement of research agenda
Description:                Research projects completed by research priority area per
                            year
Numerator:                  Number of funded/initiated research projects by research area
                            that were completed
Denominator:                Number of research projects commissioned by research area
                            per year
Data element:               Research projects completed by research priority area
                            (operational research, health systems research, clinical
                            research)
Data domain:                Research
Data Type:                  Numeric
Frequency of Reporting:     Annually
Source:                     Research Database

Indicator:                  Project proposals approved by research priority area per year
Rationale:                  Measures the number of project proposals for the
                            Comprehensive plan
Description:                Project proposals approved by research priority area per year
Numerator:                  Number of project proposals approved by research priority
                            area per year
Denominator:                Number of project proposals received by the Department of
                            Health per year
Data element:               Number of project proposals
Data domain:                Research
Data Type:                  Numeric
Frequency of Reporting:     Annually
Source:                     Research Database

Indicator:                  Studies published per year by research priority area per year
Rationale:                  Measures the number of studies published per year by
                            research priority area per year
Description:                Studies published per year by research priority area per year
Numerator:                  Number of studies published per year by research priority area
                            per year
Denominator:                Number of research studies published on the Comprehensive
                            Plan per year
Data element:               Number of project proposals
Data domain:                Research
Data Type:                  Numeric
Frequency of Reporting:     Annually
Source:                     Research Database




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Indicator:                  Percent budget allocated for research on the comprehensive
                            HIV and AIDS Plan per financial year
Rationale:                  Measures the amount of money allocated for research for the
                            Comprehensive HIV and AIDS plan per financial year
Description:                Budget allocated for research on the comprehensive HIV and
                            AIDS plan per financial year
Numerator:                  Money allocated for research on the Comprehensive HIV and
                            AIDS Plan per financial year
Denominator:                Number of research studies published on the Comprehensive
                            Plan per year
Data element:               Budget allocated for research on the Comprehensive HIV and
                            AIDS Plan
Data domain:                Research Financing
Data Type:                  Numeric
Frequency of Reporting:     Annually
Source:                     Research Database


2.8 PROGRESS MONITORING INDICATORS

Indicator:                  Monthly returns on 10 core indicators by Province
Rationale:                  Monitor submission of monthly statistics on core indicators by
                            provinces to the National Department of Health
Description:                Provincial submission of core indicators to the National
                            Department of Health for HIV and AIDS plan
Numerator:                  Number monthly returns on core indicators by province
Denominator:                Total Number of monthly returns on indicators for the
                            Comprehensive Plan
Data element:               Monthly reruns on core indicators
Data domain:                Information flow
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     DHIS, Monthly Data Collection Tool

Indicator:                  Monthly returns on patient laboratory profile from NHLS
Rationale:                  Monitor submission of monthly on patient laboratory results
                            from NHLS
Description:                Submission of monthly laboratory results from NHLS
Numerator:                  Number monthly returns on patient laboratory profile from
                            NHLS
Denominator:                Total Number of monthly returns on patient laboratory profile
                            from NHLS
Data element:               Monthly returns patient laboratory profile from NHLS
Data domain:                Laboratory services
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     National Health Laboratory Services




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Indicator:                  Full provincial monthly reports received
Rationale:                  Monitor submission of monthly reports by provinces to the
                            national Department of Health
Description:                Submission of provincial monthly reports by provinces to the
                            National Department of Health
Numerator:                  Number of provincial monthly reports submitted to the national
                            Department of Health by provinces
Denominator:                Milestone
Data element:               Provincial monthly reports
Data domain:                Information sharing
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     Directorate: Monitoring and Evaluation

Indicator:                  Monthly monitoring feedback distributed to each province
Rationale:                  Monitor the sharing of information among levels of health care
                            services
Description:                Promote information sharing among all levels of health care
                            services
Numerator:                  Number of reports, pamphlets, etc distributed to each province
                            per month
Denominator:                Milestone
Data element:               Feedback distribution
Data domain:                Information sharing
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     Directorate: Monitoring and Evaluation

Indicator:                  Indicators booklets distributed to each province
Rationale:                  Monitor distribution of indicators booklet to all provinces
Description:                Distribution of Indicators booklets to each province
Numerator:                  Number of Indicators booklets distributed to each province per
                            year
Denominator:                Total number of Indicators Booklets published
Data element:               Indicators booklets
Data domain:                Information distribution
Data Type:                  Numeric
Frequency of Reporting:     Annually
Source:                     Directorate: Monitoring and Evaluation




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Indicator:                  Availability of data collection system in all provinces
Rationale:                  Determines the availability of data collection systems in the
                            accredited service points
Description:                Data collection systems include Patient Information Systems,
                            NHLS, BSS, DHS, etc
Numerator:                  Number of data collection systems available per province
Denominator:                Milestone
Data element:               Data collection systems
Data domain:                Information systems
Data Type:                  Numeric
Frequency of Reporting:     Annually
Source:                     Directorate: Monitoring and Evaluation

Indicator:                  Provincial training for data collection system
Rationale:                  Measures the number of health personnel trained for data
                            collection
Description:                Training is needed for health personnel (e.g. data capturers
                            and Information officers) responsible for data collection in the
                            accredited service points
Numerator:                  Number of provincial training for data collection system per
                            month
Denominator:                Number of scheduled provincial training for data collection
                            system per month
Data element:               Provincial training for data collection system
Data domain:                Training
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     Directorate: Monitoring and Evaluation




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2.9 TRADITIONAL MEDICINES

Indicator:                  Percentage of patients using any traditional and
                            complimentary medicines
Rationale:                  Monitor any drugs reactions on patients using traditional and
                            complimentary medicines
Description:                Measures the number of patients on ART who also use
                            traditional medicines
Numerator:                  Number of patients using any traditional and complimentary
                            medicines
Denominator:                Total number of patients on ART
Data element:               Traditional and complimentary medicines
Data domain:                Traditional Health
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     Facility Routine Data


Indicator:                  Percentage of registered Traditional Health Practitioners
                            trained on treatment and care of patients
Rationale:                  Equip Traditional Health Practitioners with basic skills on
                            treatment and care of HIV and AIDS patients
Description:                Traditional Health Practitioners trained on treatment and care
                            of patients
Numerator:                  Number of traditional Health Practitioners trained on treatment
                            and care of patients
Denominator:                Total number of certified Traditional Health Practitioners
Data element:               Traditional Health Practitioners trained
Data domain:                Traditional Health
Data Type:                  Numeric
Frequency of Reporting:     Quarterly
Source:                     Provincial reports


Indicator:                  Percentage of patients referred by Traditional heath
                            practitioners to service points
Rationale:                  Measures the exist of the referral systems and networks
                            between Traditional Health Practitioners and Biomedical
                            Practitioners, which allow routine follow up of patients
Description:                Patients referred by Traditional heath practitioners to service
                            points
Numerator:                  Number of patients referred by Traditional healers to service
                            points
Denominator:                Number of patients on ART
Data element:               Patients referred by Traditional heath practitioners to service
                            points
Data domain:                Traditional Health
Data Type:                  Numeric
Frequency of Reporting:     Quarterly
Source:                     Facility Routine Data

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2.10 SOCIAL MOBILISATION AND COMMUNICATION INDICATORS

Indicator:                  Proportion of clients receiving home based care (HBC)
                            assistance for the first time
Rationale:                  Measures number of clients who receive home-based care
                            services in the service points for the first time
Description:                Clients receiving home based care (HBC) assistance for the
                            first time
Numerator:                  Number of clients receiving home based care assistance in
                            the facilities for the first time annually
Denominator:                Number of referrals to HBC from the ART site
Data element:               Clients receiving home based care assistance in the facilities
Data domain:                HBC, ART patients
Data Type:                  Numeric
Frequency of Reporting:     Annually
Source:                     Research, Routine Reports


Indicator:                  Proportion of clients served by the CBC around the accredited
                            service points
Rationale:                  Measures number of clients who receive community based
                            services situated around the ARV service points
Description:                Clients served by the CBC around the accredited service
                            points
Numerator:                  Number of clients served by the CBC around the accredited
                            facilities
Denominator:                Number of referrals
Data element:               Clients served by the CBC around the accredited facilities
Data domain:                CBC, Accredited service points
Data Type:                  Numeric
Frequency of Reporting:     Annually
Source:                     Research,


Indicator:                  Number of referrals between service points and community
                            based organisations
Rationale:                  Measures the existence of referral systems between service
                            points and CBOs
Description:                Referrals between service points and community based
                            organisations
Numerator:                  Number of patients referred by CBOs to service points
Denominator:                Total number of patients on ART referred
Data element:               Referrals between service points and community based
                            organisations
Data domain:                Patients referred
Data Type:                  Numeric
Frequency of Reporting:     Annually
Source:                     Facility Routine Data



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Indicator:                  Number of clients served by HBC around the accredited
                            service points
Rationale:                  Measures number of clients who receive HBC services around
                            the accredited service points
Description:                Clients served by the HBC around the accredited service
                            points
Numerator:                  Number of clients served by the HBC around the accredited
                            facilities
Denominator:                Number of referrals
Data element:               Clients served by the HBC around the accredited facilities
Data domain:                HBC, Accredited service points
Data Type:                  Numeric
Frequency of Reporting:     Annually
Source:                     Facility Routine Data


Indicator:                  Proportion of established Provincial AIDS Council sub-
                            committees on Community mobilization
Rationale:                  Measures the existence of referral systems between service
                            points and CBOs
Description:                Established Provincial AIDS Council sub-committees on
                            Community mobilization
Numerator:                  Number of established Provincial AIDS Council sub-
                            committees on Community mobilization
Denominator:                Number of health facilities in South Africa
Data element:               Established Provincial AIDS Council sub-committees on
                            Community mobilization
Data domain:                Provincial AIDS Councils, Committees, CBOs, NGOs, FBOs
Data Type:                  Numeric
Frequency of Reporting:     Annually
Source:                     SAN AC Secretariat


Indicator:                  Percentage of people who report to have obtained information
                            on HIV and AIDS from health promoters, mass media and
                            Khomanani
Rationale:                  Measures the coverage of communication strategy
Description:                People who report to have obtained information on HIV and
                            AIDS from health promoters, mass media and Khomanani
Numerator:                  Number of individuals who report to have obtained information
                            on HIV and AIDS from mass media and Khomanani
Denominator:                Number of respondents who answered the question on the
                            main source of information about HIV and AIDS
Data element:               Number of individuals who sourced the information about HIV
                            and AIDS is mass media and Khomanani
Data domain:                Pamphlets, billboards, reports, radio, TV, Internet, e-mail,
                            telephone, workshops, conferences
Data Type:                  Numeric
Frequency of Reporting:     5 yearly
Source:                     Behavioural Surveys, SA Demographic Health Survey


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Indicator:                  Percentage of people who know about the comprehensive HIV
                            and AIDS care, management and treatment plan
Rationale:                  Measures knowledge of people about comprehensive HIV and
                            AIDS care, management and treatment plan
Description:                People who know about the comprehensive HIV and AIDS
                            care, management and treatment plan
Numerator:                  Number of people who know about the comprehensive HIV
                            and AIDS care, management and treatment plan
Denominator:                Number of people >/=15 years
Data element:               Number of respondents to questions on major Comprehensive
                            Plan
Data domain:                Care, Management and Treatment
Data Type:                  Numeric
Frequency of Reporting:     5 yearly
Source:                     Behavioural Surveys, SA Demographic Health Survey

Indicator:                  Percentage of people who both correctly identify wa ys of
                            preventing the sexual transmission of HIV and who reject
                            major misconception about HIV transmission or prevention
Rationale:                  Measures knowledge of the essential facts about HIV
                            transmission
Description:                People who both correctly identify ways of preventing the
                            sexual transmission of HIV and who reject major
                            misconception about HIV transmission or prevention
Numerator:                  Number of respondents who gave correct answers to
                            questions about ways of preventing the sexual transmission of
                            HIV and major misconception about HIV transmission or
                            prevention
Denominator:                Number of respondents who answered questions about ways
                            of preventing the sexual transmission of HIV and major
                            misconception about HIV transmission or prevention
Data element:               Number of respondents to questions on major misconceptions
                            about HIV
Data domain:                Prevention
Data Type:                  Numeric
Frequency of Reporting:     5 yearly
Source:                     Behavioural Surveys, SA Demographic Health Survey




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3.    PATIENT OUTCOME AND IMPACT INDICATORS

All patient related indicators can be disaggregated by age group, gender and other
demographic variables.

3.1 ANTIRETROVIRAL THERAPY

Indicator:                  ART assessment first visit
Description:                Measures the utilisation rate by patients during the first visit.
Numerator:                  Number of ART assessment first visits
Denominator:                Not applicable
Data element:               ART assessment first visit
Data domain                 ART assessment
 Data Type:                 Numeric
Frequency of Reporting:     Monthly
Source:                     National Health Care Management Information System

Indicator:                  Total ART assessment visits
Description:                Measures the overall utilisation rate.
Numerator:                  Total number of ART assessment visits
Denominator:                Not applicable
Data element:               Total ART assessment visits
Data domain                 ART
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     National Health Care Management Information System

Indicator:                  Proportion CD4 turn-around > 6 days
Description:                Part of strategic planning key indicators and measures the
                            time from when test is ordered till lab results receives by the
                            clinician. Above 6 days is problematic.
Numerator:                  CD4 turn around time > 6 days
Denominator:                CD4 turn-around measured
Data element:               Proportion CD4 turn-around > 6 days
Data domain                 CD4
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     National Health Care Management Information System

Indicator:                  Known-death rate during ART readiness assessment
Description:                Measures the number of eligible patients who died during
                            readiness assessment.
Numerator:                  Total deaths of patients on ART readiness assessment
Denominator                 Total number of patients on ART readiness assessment
Data element:               Known-death rate during ART readiness assessment
Data domain                 ART
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     National Health Care Management Information System
Indicator:                  Number of registered ART patient - ART start

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Description:                Measures number of patients who are registered to start ART.
Numerator:                  Registered ART patient - ART start
Denominator:                Not applicable
Data element:               Registered ART patient - ART start
Data domain                 ART
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     National Health Care Management Information System


Indicator:                  Proportion of patients assessed eligible for treatment
Description:                Measures the number of patients who are medically eligible
                            after assessment.
Numerator:                  Total number of patients assessed who are medically eligible
Denominator:                Total number of HIV positive patients assessed for eligibility
Data element:               ART Assessment patients - Proportion medical eligible
Data domain                 ART
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     National Health Care Management Information System


Indicator:                  Total number of visits by ART patients at ART service point
Description:                Measures the total number of patients scheduled and
                            unscheduled visits. Numerator: (Registered ART patient:
                            Total Scheduled monitoring visits) + (Unscheduled visit
                            attended by ART patient)
Denominator:                Not applicable
Data element:               Total number of visits by ART patients at ART service point
Data domain                 ART
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     National Health Care Management Information System

Indicator:                  Patient transfer out rate
Description:                Provides the information on the number of patients who de-
                            registered and transferred out
Numerator:                  Number of de-registered ART patient - transferred out (this
                            month)
Denominator:                Total number of registered ART patients
Data element:               ART patient transfer out rate
Data domain                 ART
Data Type:                  Numeric
Frequency of Reporting:     Quarterly
Source:                     National Health Care Management Information System




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Indicator:                  Known-death rate among patients on antiretroviral therapy
Description:                Computes the number of de-registered patients who died
                            while on ART.
Numerator:                  Number of de-registered ART patient - known death (this
                            month)
Denominator:                Total number of registered ART patients
Data element:               Known-death rate of patients on ART
Data domain                 ART
Data Type:                  Numeric
Frequency of Reporting:     Annually
Source:                     National Health Care Management Information System


Indicator:                  Total number of registered patients on antiretroviral therapy
Description:                Measures the number of patients who registered for ART
                            programme.
Numerator:                  Number of registered ART patients
Denominator:                Not applicable
Data element:               Total number of registered ART patients
Data domain                 ART
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     National Health Care Management Information System

Indicator:                  ART stop index
Rationale:                  Measures the number of de-registered patients who stopped
                            ART
Description:                De-registered patients who started on treatment but then
                            stopped ART
Numerator:                  Number of de-registered ART patient - ART stop
Denominator:                Total number of registered ART patients
Data element:               ART stop index
Data domain:                ART
Data Type:                  Numeric
Frequency of Reporting:     Quarterly
Source:                     National Health Care Management Information System


Indicator:                  Proportion of registered patients lost to follow up
Rationale:                  Measures the number of de-registered who were lost to follow-
                            up
Description:                De-registered patients who started on treatment but then did
                            not come back for their subsequent follow up visits and who
                            cannot be traced
Numerator:                  Number of de-registered ART patient - loss to follow up
Denominator:                Total number of registered ART patients
Data element:               Loss of follow up index
Data domain:                ART
Data Type:                  Numeric
Frequency of Reporting:     Quarterly
Source:                     National Health Care Management Information System
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Indicator:                  De-registered ART patients index
Rationale:                  Measures the total number of de registered patients
Description:                De-registered ART patients index
Numerator:                  Number of de-registered ART patient – Total
Denominator:                Total number of registered ART patients
Data element:               De-registered ART patients index
Data domain:                ART
Data Type:                  Numeric
Frequency of Reporting:     Quarterly
Source:                     National Health Care Management Information System


Indicator                   Proportion of registered ART patients on regimen 1a or 1b
Rationale:                  Calculates the number of registered ART patient on regimen
                            1a/b
Description:                registered ART patients on regimen 1a or 1b
Numerator:                  Number of registered ART patient on regimen 1a/b
Denominator:                Total number of registered ART patients
Data element:               Proportion of registered ART patients on regimen 1a or 1b
Data domain:                ART, Regimen 1a, 1b
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     National Health Care Management Information System


Indicator:                  Proportion of registered ART patients on regimen 2
Rationale:                  Calculates the number of registered ART patients on regimen
                            2
Description:                Registered ART patients on regimen 2
Numerator:                  Number of registered ART patients on regimen 2
Denominator:                Total number of registered ART patients
Data element:               Proportion of registered ART patients on regimen 2
Data domain:                ART, Regimen 2
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     National Health Care Management Information System



Indicator:                  Proportion of registered ART patients on any child regimen
Rationale:                  Measures the number of registered ART patients on any child
                            regimen
Description:                Registered ART patients on any child regimen
Numerator:                  Registered ART patient on any child regimen
Denominator:                Total number of registered ART patients
Data element:               Proportion of registered ART patients on any child regimen
Data domain:                ART, Regimen 1,2
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     National Health Care Management Information System


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Indicator:                  ART Adherence last 3 days proportion 100%
Rationale:                  Monitors adherence among patients in terms of Determines
                            the number of patients who adhere to ART in last 3 days
Description:                ART Adherence last 3 days proportion 100%-adults and
                            children
Numerator:                  ART Adherence last 3 days proportion 100%
Denominator:                Total adherence measured
Data element:               ART Adherence last 3 days proportion 100%
Data domain:                ART
Data Type:                  Numeric
Frequency of Reporting:     Quarterly
Source:                     National Health Care Management Information System


Indicator:                  Scheduled dose defaulting rate ART regimen
Rationale:                  Measures the number of patients who missed scheduled ART
                            doses
Description:                Registered ART patients (adults and children) who defaulting
                            rate ART regimen
Numerator:                  Scheduled dose defaulted (> 3 days) ART any regimen
Denominator:                Total Scheduled dose of ART any regimen (this month)
Data element:               Scheduled dose defaulting rate ART regimen
Data domain:                ART, Regimen 1 and 2
Data Type:                  Numeric
Frequency of Reporting:     Quarterly
Source:                     National Health Care Management Information System


Indicator:                  ART Cohort Viral Load Effectiveness Parameter
Rationale:                  Monitors viral load suppression measured as achieving HIV
                            RNA levels less than 400 copies/ml among cohorts of the
                            registered patients
Description:                Cohort of registered patient on ART who achieved HIV RNA
                            levels less than 400 copies/ml
Numerator:                  Registered ART patient: viral load <400 (this month)
Denominator:                Registered ART patient: Total Viral load monitoring (this
                            month)
Data element:               ART Cohort Viral Load Effectiveness Parameter
Data domain:                ART
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     National Health Care Management Information System




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Indicator:                  ART Cohort Weight Gain Parameter
Rationale:                  Monitors improvement in weight among patients measured as
                            weight gain above 10% compared to the baseline
Description:                Registered patient (Adult and children) whose weight
                            improved by at least 10% compared to weight measured at
                            baseline
Numerator:                  Registered adult ART patient: weight (this month) gain >10%
                            compared to baseline
Denominator:                Registered adult ART patient: Total Weight monitoring (this
                            month)
Data element:               ART Cohort Weight Gain Parameter
Data domain:                ART
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     National Health Care Management Information System

Indicator:                  Adult cohort WHO Stage Parameter
Rationale:                  Selection of adult patients based on WHO stage III and IV
                            AIDS defining illness
Description:                Registered adult patients with WHO Stage III and IV
Numerator:                  Registered adult patients with WHO Stage III and IV
Denominator:                Registered adult ART patients
Data element:               Adult cohort WHO Stage Parameter
Data domain:                ART
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     National Health Care Management Information System

Indicator:                  Child cohort WHO Stage Parameter
Rationale:                  Selection of child patients based on WHO staging to placed on
                            treatment
Description:                Measures the number of registered child ART patients with
                            WHO Stage II and III
Numerator:                  Registered child ART patients with WHO Stage II and III
Denominator:                Registered child ART patients
Data element:               Child cohort WHO Stage Parameter
Data domain:                ART
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     National Health Care Management Information System




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Indicator:                  ART Cohort CD4 Effectiveness Parameter
Rationale:                  Monitors progress among cohorts of patient on ART by
                            measuring the CD4
Description:                CD4 > 200/mm 3 among cohort of registered adult ART patient
Numerator:                  Registered adult ART patient: CD4 > 200 (this month)
Denominator:                Registered adult ART patient: Total WHO Stage monitoring
                            results (this month)
Data element:               ART Cohort CD4 > 200
Data domain:                ART
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     National Health Care Management Information System
Indicator:                  Incidence of STI treated new episode among ART patients
Description:                Measures the number of ART patients treated for new STIs
                            episode
Numerator:                  STI treated new episode - ART patient
Denominator:                Registered ART patient on any adult regimen
Data element:               Incidence of STI treated new episode among ART patients
Data domain:                ART
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     National Health Care Management Information System

Indicator:                  Proportion of adult patients on ART with adherence greater or
                            equal 90 %
Description:                Measures the number of adult ART patients with adherence
                            greater or equal 90 %
Numerator:                  Number of adult patients with adherence greater or equal 90
                            %
Denominator:                Total adult patients registered on ART minus ART start
Data element:               Proportion of adult patients on ART with adherence greater or
                            equal 90 %
Data domain:                ART
Data Type:                  Numeric
Frequency of Reporting:     Quarterly
Source:                     National Health Care Management Information System

Indicator:                  Proportion of adult patients on ART with adherence lower than
                            70% (unacceptable level of adherence)
Description:                Measures the number of adult patients with adherence lower
                            than 70 %
Numerator:                  Number of adult patients with adherence lower than 70 %
Denominator:                Total adult patients registered on ART minus ART start
Data element:               Proportion of adult patients on ART with adherence lower than
                            70% (unacceptable level of adherence)
Data domain:                ART
Data Type:                  Numeric
Frequency of Reporting:     Quarterly
Source:                     National Health Care Management Information System



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Indicator:                  Proportion of patients registered on ART who missed one
                            dose or more in the last 3 days
Description:                Measures the proportion of registered ART patients who
                            missed one dose or more in the last 3 days
Numerator:                  Number of patients registered on ART who missed one dose
                            or more in the last 3 days
Denominator:                Total ART patients
Data element:               Patients registered on ART who missed one dose or more in
                            the last 3 days
Data domain:                missed one dose or more in the last 3days
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     National Health Care Management Information System

Indicator;                  Average number of year lived while on treatment
Rationale:                  Determines the number of years patients can live while on
                            treatment
Description:                Measures the average number of years a person can be
                            expected to live after being started on ART
Numerator:                  Sum of years that patients live after starting ART
Denominator:                Total number of patients started on ART who die
Data element:               Number of years that patients live after being started on ART
Data domain:                ART
Data Type:                  Numeric
Frequency of Reporting:     Two yearly
Source:                     National Health Care Management Information System




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3.2 VCT, PMTCT, STI AND TB


Indicator:                   Incidence of STI treated new episode
Rationale:                   Determine number of new episodes of STIs treated on ART
                             patients
Description:                 STI treated new episode
Numerator:                   STI treated new episode x 100 x 12
Denominator:                 Population >=15 years
Data element:                Incidence of STI treated new episode
Data domain:                 STI
Data Type:                   Numeric
Frequency of Reporting:      Monthly
Source:                      STI surveillance, DHIS

Indicator:                   Incidence of male urethritis syndrome treated new episode
Rationale:                   Determines the number of patients with new cases of male
                             urethritis syndrome treated
Description:                 Male urethritis syndrome treated new episode
Numerator:                   MUS treated new episode x 100x 12
Denominator:                 Male population>=15 years
Data element:                Incidence of male urethritis syndrome treated new episode
Data domain:                 STI
Data Type:                   Numeric
Frequency of Reporting:      Monthly
Source:                      STI surveillance, DHIS

Indicator:                   STI partner notification rate
Rationale:                   Calculates the number of patients with STI who issue
                             notification slips to their partners
Description:                 STI partner notification rate
Numerator:                   STI partner notification slips issued
Denominator:                 STI treated new episode
Data element:                STI partner notification rate
Data domain:                 STI
Data Type:                   Numeric
Frequency of Reporting:      Monthly
Source:                      STI surveillance, DHIS

Indicator:                   STI partner tracing rate
Rationale:                   Determines the rate of tracing STI partners
Description:                 Measures the rate at which partners of patients diagnosed
                             with STI are traced
Numerator:                   STI partner treated new
Denominator:                 STI partner notification slips issued
Data element:                STI partner tracing rate
Data domain:                 STI
Data Type:                   Numeric
Frequency of Reporting:      Monthly
Source:                      STI surveillance, DHIS


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Indicator:                  STI partner treatment rate
Rationale:                  Determines the rate of treatment among STI partners
Description:                Refers to the rate at which partners of patients diagnosed with
                            STI are treated
Numerator:                  STI partner treated new
Denominator:                STI treated new episode
Data element:               STI partner treatment rate
Data domain:                STI
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     STI surveillance, DHIS

Indicator:                  Male and female condom distribution rate
Rationale:                  Determines the rate of distribution of male and female
                            condoms
Description:                Refers to the monthly distribution and use of both male and
                            female condoms
Numerator:                  Male condoms distributed x 12
Denominator:                Male population>=15 years
Data element:               Male condom distribution rate
Data domain:                STI
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     STI surveillance, DHIS

Indicator:                  Proportion of clients HIV pre-test counseling (excluding
                            antenatal)
Rationale:                  Determines the proportion of clients who have counselled prior
                            to HIV testing
Description:                Refers to all patients (except Antenatal) who have been
                            counseled prior to HIV testing
Numerator:                  Client HIV pre-test counselled (excluding antenatal)
Denominator:                Total PHC headcount- (antenatal 1st visit before 20 weeks +
                            antenatal 1st 20 weeks and later + antenatal follow up visit)
Data element:               Proportion of clients HIV pre-test counseling (excluding
                            antenatal)
Data domain:                VCT
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     DHIS


Indicator:                  HIV testing rate (excluding antenatal)
Description:                Determines HIV testing rate excluding antenatal
Numerator:                  Client tested for HIV (excluding antenatal)
Denominator:                Client HIV pre-test counselled (excluding antenatal)
Data element:               HIV testing rate (excluding antenatal)
Data domain:                HIV testing
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     DHIS
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Indicator:                  HIV pre valence among clients tested (excluding antenatal)
Rationale:                  Determines the number of patients infected with HIV from
                            those tested
Description:                Refers to the number of patients (excluding antenatal) tested
                            HIV positive per moth
Numerator:                  Client tested HIV positive - new (excluding antenatal)
Denominator:                Client tested for HIV (excluding antenatal)
Data element:               HIV pre valence among clients tested (excluding antenatal)
Data domain:                HIV pre valence
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     DHIS

Indicator:                  Proportion of antenatal clients tested for HIV
Rationale:                  Determines the number antenatal clients tested for HIV
Description:                Refers to all antenatal clients who have been tested for HIV
Numerator:                  Antenatal client tested for HIV
Denominator:                Antenatal 1st visit before 20 weeks + Antenatal 1st visit 20
                            weeks or later
Data element:               Proportion of antenatal clients tested for HIV
Data domain:                ANC
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     DHIS

Indicator:                  Syphilis prevalence among antenatal clients tested
Rationale:                  Determines the number of patient infected with Syphilis from
                            those tested at the antenatal sites
Description:                Refers to the number of antenatal patients diagnosed with
                            Syphilis
Numerator:                  Antenatal client tested positive for syphilis- new
Denominator:                Antenatal client tested for syphilis
Data element:               Syphilis prevalence among antenatal clients tested
Data domain:                Syphilis
Data Type:                  numeric
Frequency of Reporting:     Quarterly
Source:                     Annual HIV/Syphilis seroprevalence , DHIS

Indicator:                  Nevirapine uptake rate within 72 hours among babies born to
                            women with HIV
Rationale:                  Indicates the rate at which nevirapine is administered to
                            babies born to women with HIV
Description:                measures the number of babies born to women taking
                            nevarapine
Numerator:                  Nevarapine dose to baby born to woman with HIV
Denominator:                Live birth to woman with HIV
Data element:               Nevirapine uptake rate among babies born to women with HIV
Data domain:                Nevarapine
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     DHIS
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Indicator:                  Nevirapine dose to baby coverage rate
Rationale:                  Measures the rate of nevirapine coverage doses to babies
Description:                Indicates number of babies who received nevirapine dose
Numerator:                  Nevarapine dose to baby born to woman with HIV
Denominator:                Total live birth x pro vincial (national) HIV prevalence among
                            antenatal clients
Data element:               Nevirapine dose to baby coverage rate
Data domain:                Nevarapine
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     DHIS

Indicator:                  Proportion of AR V prophylaxis among rape victims
Rationale:                  Determines the type and number of treatments given to rape
                            victims
Description:                Refers to types AR V prophylaxis given to the rape victims
Numerator:                  AR V prophylaxis to rape case - new
Denominator:                Rape case - new
Data element:               Proportion of AR V prophylaxis among rape victims
Data domain:                AR V prophylaxis
Data Type:                  Numeric
Frequency of Reporting:     Quarterly
Source:                     DHIS

Indicator:                  Proportion of AR V prophylaxis among occupation HIV
                            exposure cases
Rationale:                  Determines the type and number of treatments given to
                            patients exposed to HIV at workplace
Description:                Refers to types ARV prophylaxis given to patients exposed to
                            HIV at workplace
Numerator:                  AR V prophylaxis to case with occupational HIV exposure -
                            new
Denominator:                Occupational HIV exposure - new
Data element:               Proportion of AR V prophylaxis among occupation HIV
                            exposure cases
Data domain:                AR V prophylaxis
Data Type:                  Numeric
Frequency of Reporting:     Quarterly
Source:                     DHIS

Indicator:                  TB case finding index
Rationale:                  Measures TB case detection rate
Description:                Refers to the detection rate of suspected TB cases
Numerator:                  Suspected TB - new episode
Denominator:                PHC headcount 5 years and older
Data element:               TB case finding index
Data domain:                TB
Data Type:                  Numeric
Frequency of Reporting:     Quarterly
Source:                     DHIS, Electronic TB Register
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Indicator:                  Proportion of treatment start among TB smear positive
Rationale:                  Determines the number of TB patients who start TB treatment
                            among TB smear positive
Description:                Refers to the number of patients with smear positive who start
                            TB treatment
Numerator:                  Number of patients with smear positive who start TB treatment
Denominator:                Total number of patient with smear positives
Data element:               Proportion of treatment start among TB smear positive
Data domain:                TB
Data Type:                  Numeric
Frequency of Reporting:     Quarterly
Source:                     DHIS, Electronic TB Register

Indicator:                  Incidence of INH preventive therapy start in HIV positive
Rationale:                  Determines the number of HIV positive patients who start INH
                            preventive therapy
Description:                Refers to the number of HIV patients who start on INH
                            preventive therapy
Numerator:                  INH preventive therapy start in HIV+ x 100 x 12
Denominator:                Population >/= 15years who are HIV positive
Data element:               Incidence of INH preventive therapy start in HIV positive
Data domain:                INH
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     DHIS

Indicator:                  Incidence of cotrimoxazole prophylaxis rate in HIV positive
Rationale:                  Determines the rate of uptake of cotrimoxazole prophylaxis
                            among HIV positive
Description:                Refers to the number of HIV patients who start on
                            Cotrimoxazole prophylaxis
Numerator:                  Cotrimoxazole prophylaxis start in HIV+ x 100 x 12
Denominator:                Population
Data element:               Incidence of cotrimoxazole prophylaxis rate in HIV positive
Data domain:                Cotrimoxazole
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     DHIS




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3.3 PHARMACOVIGILANCE INDICATORS

Indicator:                  Percentage of spontaneous adverse events (ADE) reports
                            received for AR Vs
Rationale:                  Measures the number of spontaneous adverse events (ADE)
                            reports received for ARVs against the total of ADE reported
Description:                Spontaneous adverse events (ADE) reports received for AR Vs
Numerator:                  Number of spontaneous adverse events (ADE) reports
                            received for AR Vs
Denominator:                Total number of ADE reported
Data element:               Ad verse events (ADE) reports received for ARVs
Data domain:                ADE, AR V
Data Type:                  Numeric
Frequency of Reporting:     Annually
Source:                     Pharmacovigilance Surveillance System

Indicator:                  Percentage of ART related ADE experienced at sentinel sites
                            in children
Rationale:                  Measures number of ART related ADE e xperienced at sentinel
                            sites in children
Description:                Refers to all children who experience ADE due to ART at
                            sentinel sites
Numerator:                  Number of ART ADE experienced at sentinel sites in children
Denominator:                Total Ad verse Events experienced at sentinel sites by children
Data element:               ART related ADE e xperienced at sentinel sites in children
Data domain:                ADE, AR V
Data Type:                  Numeric
Frequency of Reporting:     Annually
Source:                     Pharmacovigilance Surveillance System

Indicator:                  Percentage of ART related ADE experienced at sentinel sites
                            in adults
Rationale:                  Measures number of ART related ADE e xperienced at sentinel
                            sites versus the total number of patients treated
Description:                Refers to all adults who experience ADE due to ART at
                            sentinel sites
Numerator:                  Number of ART ADE experienced at sentinel sites in adults
Denominator:                Total Ad verse Events experienced at sentinel sites in adults
Data element:               ART related ADE e xperienced at sentinel sites in adults
Data domain:                ADE, AR V
Data Type:                  Numeric
Frequency of Reporting:     Annually
Source:                     Pharmacovigilance Surveillance System




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Indicator:                  Number of patients on treatment with regimens that had to be
                            switched due to serious ADE
Rationale:                  Measures the number of patients on treatment with regimens
                            that had to be switched due to serious ADE
Description:                Refers to all patients who have to be switched to another
                            treatment regimen as a result of serious ADE
Numerator:                  Number of patients on treatment with regimens that had to be
                            switched due to serious ADE
Denominator:                Total number of patient on treatment
Data element:               Patients on treatment with regimens that had to be switched
                            due to serious ADE
Data domain:                R1a, R1b, and R2
Data Type:                  Numeric
Frequency of Reporting:     Annually
Source:                     Pharmacovigilance Surveillance System

Indicator:                  Percentage of patients discontinuing ART due to ADE
Rationale:                  Measures the number of patient who stopped taken their ART
                            due to ADE
Description:                indicates the number of patients who have to stop treatment
                            due to ADE
Numerator:                  Number of patient discontinuing ART due to ADE
Denominator:                Total number of patient on treatment
Data element:               Patient discontinuing ART due to ADE
Data domain:                ADE
Data Type:                  Numeric
Frequency of Reporting:     Annually
Source:                     Pharmacovigilance Surveillance System

Indicator:                  Specific mortality rate attributable to specific drugs
Rationale:                  Measures mortality associated with ART
Description:                Refers to the rate at which people on treatment dies as a
                            result of AR V drugs (1a, 1b, 2)
Numerator:                  Number of reported deaths of patients on ART attributable to
                            drugs
Denominator:                Total deaths of patients on ART
Data element:               Specific mortality rate due to ART
Data domain:                ART
Data Type:                  Numeric
Frequency of Reporting:     Biennial
Source:                     Pharmacovigilance Surveillance System




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Indicator:                  Specific mortality rate attributable to ART regimen (1a, 1b, 2)
Rationale:                  Measures mortality due to ART specific regimen
Description:                Refers to the rate at which people on treatment dies as a
                            result of specific ARV drugs
Numerator:                  Number of confirmed deaths due to ART
Denominator:                Number of all patients on ART
Data element:               Mortality rate attributable to ART regimen
Data domain:                ART
Data Type:                  Numeric
Frequency of Reporting:     Annually
Source:                     Pharmacovigilance Surveillance System

Indicator:                  Specific morbidity rate attributable to ART Regimen (all
                            severe, & mild cases)
Rationale:                  Measures mortality due to specific ART regimen
Description:                Refers to the rate at which people on treatment are affected
                            (severe or mild) as a result of ARV drugs (1a, 1b, 2)
Numerator:                  Number of reported cases of ADR (all: severe or mild)
Denominator:                Number of all patients on ART
Data element:               Specific attributable mortality rate due to ART Regimen (R1a,
                            R1b, R2)
Data domain:                ART
Data Type:                  Numeric
Frequency of Reporting:     Annually
Source:                     Pharmacovigilance Surveillance System

Indicator:                  Regimen change Rate
Rationale:                  Measures the prevalence of switching between regimen due to
                            ADR
Description:                Indicates the rate at which patients change from one regimen
                            to the other
Numerator:                  Number of patients that SWITCH from one regimen to another
Denominator:                Number of all patients on ART
Data element:               Regimen Switching Rate
Data domain:                ART
Data Type:                  Numeric
Frequency of Reporting:     Annually
Source:                     Pharmacovigilance Surveillance System

Indicator:                  Discontinuation of ART rate
Rationale:                  Measures the prevalence of discontinuation among patient on
                            ART
Description:                Refers to the number of patients who stopped taking ART
Numerator:                  Number of patient that discontinue ART
Denominator:                Number of all patients on ART
Data element:               Adherence rate to ART
Data domain:                ART
Data Type:                  Numeric
Frequency of Reporting:     Annually
Source:                     Pharmacovigilance Surveillance System


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Indicator:                  Adherence rate to treatment
Rationale:                  Measures the prevalence non-adherence due to ADRs
Description:                Refers to the number of patients who continuously miss their
                            treatment schedule as a result of ADR
Numerator:                  Number of patients with reported missed doses of Art
Denominator:                Number of all patient on ART
Data element:               Adherence rate to ART
Data domain:                R1a, R1b, and R2
Data Type:                  Numeric
Frequency of Reporting:     Annually
Source:                     Pharmacovigilance Surveillance System

Indicator:                  Cause specific mortality for patients on ART and Traditional
                            Medicine (TM)
Rationale:                  Measures prevalence of ADR due to ART +TM on all ART
                            patients
Description:                Determines the specific cause of deaths due to ART and TM
Numerator:                  Number of reported deaths among patients on ART & TM
Denominator:                Number of all patients on ART
Data element:               Mortality, patients on ART & TM
Data domain:                ART & TM
Data Type:                  Numeric
Frequency of Reporting:     Annually
Source:                     Pharmacovigilance Surveillance System




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4. HEALTH SYSTEMS STRENGTHENING INDICATORS

Indicator:                  Percent of facilities with systems that supports quality service
                            delivery
Rationale:                  Measures the number of facilities with systems that support
                            delivery of quality services and government commitment to
                            improve quality
Description:                Facility with systems in place to improve service delivery and
                            increase patients satisfaction
Numerator:                  Number of accredited facilities with systems that supports
                            quality service delivery
Denominator:                Total number of accredited facilities
Data element:               Facilities, quality service delivery
Data domain:                Quality Assurance, health systems
Data Type:                  Numeric
Frequency of Reporting:     Annually
Source:                     Facility Routine Data and Reports

Indicator:                  Facilities with working referral system
Rationale:                  Measure the number of facilities with working referral system
Description:                Refers to all facilities that refer patients to the referral service
                            point for further treatment
Numerator:                  Number of facilities with working referral system
Denominator:                Total number of accredited facilities
Data element:               Facilities
Data domain:                Referral system
Data Type:                  Numeric
Frequency of Reporting:     Annually
Source:                     Facility Routine Data and Reports

Indicator:                  Availability of policies, plans, guidelines that promote access
                            to the comprehensive HIV and AIDS services
Rationale:                  Measures the availability of policies, plans, guidelines that
                            promote access to the comprehensive HIV and AIDS services
                            and to regulate the services of the Plan
Description:                Policies, plans and guidelines include are regulatory
                            documents for programmes and organisations (e.g.
                            Government, NGOs, etc)
Numerator:                  Number of availability of policies, plans, guidelines that
                            promote access to the comprehensive HIV and AIDS services
Denominator:                Milestone
Data element:               Policies, plans and guidelines for the comprehensive HIV and
                            AIDS Plan
Data domain:                Policies and Legislations
Data Type:                  Numeric
Frequency of Reporting:     5 yearly
Source:                     Directorate: HIV and AIDS, STI and TB




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Indicator:                  Number of service points with functional information systems
                            in the country
Rationale:                  Measure the availability of systems that are in good working
                            conditions at accredited service points
Description:                Service points with functional information systems such as
                            Patient Information System, DHIS, National Health Laboratory
                            Services
Numerator:                  Number of service points with functional information systems
                            in the country
Denominator:                Total number of accredited facilities
Data element:               Service points, information systems
Data domain:                Management Information System
Data Type:                  Numeric
Frequency of Reporting:     Annually
Source:                     Directorate: Health Information Systems

Indicator:                  Facilities submitting completed routine management
                            information system (MIS) report on time
Rationale:                  Measure the extent to which routine information is submitted
                            on time
Description:                Refers to facilities that submit completed routine management
                            information report on time
Numerator:                  Number of facilities submitting completed routine management
                            information system (MIS) report on time
Denominator:                Total number of accredited service points
Data element:               Facilities, routine management information report
Data domain:                Management information system (MIS)
Data Type:                  Numeric
Frequency of Reporting:     Monthly
Source:                     Directorate: Health Information Systems

Indicator:                  Facilities using information to monitor performance
Rationale:                  Measure the number of facilities that use information to
                            monitor performance
Description:                Refers facilities that use routine information to monitor
                            performance
Numerator:                  Number of facilities using information to monitor performance
Denominator:                Total number of accredited service points
Data element:               Facilities, information, performance monitoring
Data domain:                Performance monitoring
Data Type:                  Numeric
Frequency of Reporting:     Annually
Source:                     Monthly Data Collection Tool




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Indicator:                  Facilities with adequate storage for all supplies
Rationale:                  Measure the number of facilities with storage system for
                            supplies i.e. drugs, equipment, documents, appliances
Description:                Facilities with storage system for drugs, equipment,
                            documents
Numerator:                  Number of facilities with adequate storage for all supplies
Denominator:                Total number of accredited service points
Data element:               Facilities, storage system, supplies
Data domain:                Logistical system
Data Type:                  Numeric
Frequency of Reporting:     Annually
Source:                     Facility Routine Data and Reports

Indicator:                  Proportion of established Provincial AIDS Council sub-
                            committees on Community mobilization
Rationale:                  Measures the existence of referral systems between service
                            points and CBOs
Description:                Established Provincial AIDS Council sub-committees on
                            Community mobilization
Numerator:                  Number of established Provincial AIDS Council sub-
                            committees on Community mobilization
Denominator:                Number of health facilities in South Africa
Data element:               Established Provincial AIDS Council sub-committees on
                            Community mobilization
Data domain:                Provincial AIDS Councils, Committees, CBOs, NGOs, FBOs
Data Type:                  Numeric
Frequency of Reporting:     Annually
Source:                     Facility Routine Data and Reports




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