Avahan Revised Core Indicators by xiuliliaofz

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									                                                                                                                                                                                                                                      Program Infrastructure
                                                                                                     I. PROGRAM INFRASTRUCTURE AND BASELINE INFORMATION
                                                                                         To measure the status of the programme in each intervention site and across Avahan

                                 Status (New,
                                  Continue,         Target Group/                                                                                                                                                     Annual
No.          Indicator                                                                         Definition                              Reason for Reporting                    Operational Guidelines                                          Comments
                                  Modify, or         Granularity                                                                                                                                                      target
                                    Drop)
1.0   Size estimation of key       Continue     1. Split by FSW /           Total estimate of key population (KP) groups in    Status of Programme indicator          - Reporting Unit: NGO projects/ target           No       - A further split between "stable" and
      population                                MSM                         Avahan geographical coverage area                  - Denominator for coverage measures, groups                                                     "mobile" could be tracked in sites that have
                                                2. FSW sub-typology:        - Methods of size estimation studies include:      service uptake (DA 6); especially STI - Entered by: IP                                          very high churn of key populations
                                                Brothel, Lodge, Street,     mapping, PSA, capture and recapture methods.       clinic services (DA 10 and DA 11)     - Frequency: at least annually                            - Sub-typology of FSW are restricted to
                                                Home, Other                 The SLP must articulate the standardized                                                                                                           the choices given; if there are other
                                                                            methodology used to conduct an estimation, and                                                                                                     populations to consider (home based,
                                                                            the updated figure should be entered along with                                                                                                    dhaba based, etc), then they must be
                                                                            target group, source, month, and year of study.                                                                                                    included in "Other" unless they consist over
                                                                                                                                                                                                                               10% of the typology population.         -
                                                                                                                                                                                                                               FSW typology are defined by point of
                                                                                                                                                                                                                               solicitation.

2.0   Number of intervention       Modified     1. Number of Districts      The number of the reporting/ intervention units    Status of Programme indicator           - Reporting Unit: NGO projects/ target          Yes
      districts/ towns covered                  2. Number of                directly covered by the programme (district and                                           groups
                                                intervention towns          intervention towns within district); Towns to be                                          - Entered by: IP
                                                within Districts split by   split by where outreach and clinic services are                                           - Frequency: When changes occur
                                                type of service package     provided; and those towns where only clinic
                                                                            services are provided (i.e. to support SACS TI
                                                                            programmes)

3.0   Number of project sites      Modified     1. Project Offices 2.DIC    - Project Office: Any full-time office that the     Status of Programme indicator          - Reporting Unit: NGO projects/ target          No      Large proportion of populations being
      disaggregated by type                     3.Clinics                   NGO maintains for NGO project staff in a town /                                           groups                                                   covered through non-static clinics, hence
      (project offices, DIC,                    stratified by Static/       district                                                                                  - Entered by: IP                                         split should be captured
      support clinics, etc)                     Outreach/ Referral          - Drop In Center/Community center: Any safe                                               - Frequency: When changes occur
                                                Provider                    space identified and used by the KP community                                             - IPs and NGOs will report this
                                                4. Mobile clinic vans       to periodically congregate and discuss                                                    information for their respective projects. If
                                                                            community issues                                  -                                       an organization runs multiple services out
                                                                            Static clinic - fixed, full-service clinics owned                                         of the same center (ie a clinic and drop in
                                                                            and operated by the project                                                               center at the same facility), the center
                                                                            - Outreach clinic - periodic clinics conducted at                                         should be counted in both categories (ie
                                                                            different locations by mobile clinic teams, usually                                       indicator counted as both a DIC and
                                                                            at a DIC / safe space identified by community.                                            clinic). Organizations that use private
                                                                            They provide field based health care and only                                             providers to provide STI services should
                                                                            operate on selected days; unit is location of                                             report these in the number of provider
                                                                            outreach clinic; include sites covered by mobile                                          referral clinics. One time health camps
                                                                            van clinics under this                                                                    used to promote regular clinic services
                                                                            - Referral provider: Any existing medical                                                 should not be counted here.
                                                                            practitioner trained by the project with whom
                                                                            formal linkages have been established for
                                                                            referral and treatment of KP's and who regularly
                                                                            reports patient data to the project as per
                                                                            standard clinic formats
                                                                            - Mobile clinic - mobile vehicle clinics that
                                                                            move to different sites as per a beat plan to
                                                                            provide services; unit is mobile vehicle




                                                                                                                                                                                                                             Avahan Revised Core Indicators
                                                                                                                                                                                                                                              August 2006
                                                                                                                                                                                                                                    Program Infrastructure
                                                                                                  I. PROGRAM INFRASTRUCTURE AND BASELINE INFORMATION
                                                                                      To measure the status of the programme in each intervention site and across Avahan

                                Status (New,
                                 Continue,         Target Group/                                                                                                                                                   Annual
No.          Indicator                                                                      Definition                                Reason for Reporting                       Operational Guidelines                                     Comments
                                 Modify, or         Granularity                                                                                                                                                    target
                                   Drop)
4.0   Number of intervention      Continue     1. Director and/or        Intervention related project staff are paid as part Status of Programme indicator;               - Reporting Unit: NGO projects/ target    No
      related project staff                    Coordinator               of the Avahan projects.                              Contributes to denominator of              groups
      (excluding paid, peer                    2. Outreach staff         - Project directors and coordinators are overall in- community ownership dashboard              - Entered by: IP
      educators)                               (outreach workers and     charge on an NGO or a specific intervention          indicator (DA 17)                          - Frequency: Updated when changes
                                               supervisors)              - Outreach staff includes field staff such as field                                             occur
                                               3. Technical staff        officers, outreach workers and supervisors who
                                               4. Finance and            manage the peer educators - no paid peer
                                               administration            educators should be reported here.
                                               5. Project doctors        - Technical staff work on a specific strategy of
                                               6. Other clinical staff   the project such as BCC, social marketing,
                                                                         advocacy, etc and may have specialized
                                                                         training/qualifications.
                                                                         - Finance and Administration staff include
                                                                         accountants, data entry operators, etc. - Project
                                                                         doctors providers refers to those working in
                                                                         project run clinics, not referral providers.
                                                                         - Other clinical staff includes counselors, ANM,
                                                                         para-medics, clinic administrators and lab staff




5.0   Number of intervention       New         1. Split by FSW/ MSM      The number of intervention staff (as defined in     Partial numerator of dashboard indicator     - Reporting Unit: NGO projects/ target    No
      related project staff                                              1.4) who are members of the key population          to measure of peer representation in        groups
      (excluding paid, peer                                              groups                                              formal structures of the programme (DA      - Entered by: IP
      educators) who belong                                                                                                  17)                                         - Frequency: Updated monthly
      to the key populations



6.0   Number of active, paid      Modified     1. Split by FSW/ MSM      Individuals from target community that have         Status of Programme indicator                - Reporting Unit: NGO projects/ target    No      The earlier version of this indicator asked
      peer educators                           2. Split FSW peers by     been selected and trained to provide outreach       - Denominator for KP to peer educators      groups                                             for unpaid peers
                                               their typology            services. These individuals may be called by        ratio (DA 1) and early adoption of peers    - Entered by: IP
                                                                         different names - peer educators, community         as a measure of peer                        - Frequency: Updated monthly
                                                                         guides, peer outreach workers, social change        engagement/effectiveness (DA 3 and DA
                                                                         agents or other terms, but these individuals work   5)
                                                                         with the project on a regular basis, collect data
                                                                         related to their activities, and are paid. Peer
                                                                         educators that discontinue working during this
                                                                         reporting period should be reported as they have
                                                                         worked for a portion of the reporting period.



7.0   Number of peer              Continue     1. Split by FSW/ MSM      The number of peer educators (as defined in         Measure of peer turnover. Consistent         - Reporting Unit: NGO projects/ target    No      NGOs should also locally track reason for
      educators that                                                     Indicator 1.5) that discontinue working as peer     high turnover may trigger reassessment      groups                                             discontinuation, though not required for
      discontinue working                                                educators during the reporting period.              of peer selection process/criteria. Lower   - Entered by: IP                                   reporting
                                                                                                                             threshold should be set to ensure peer      - Frequency: Updated Monthly
                                                                                                                             progression or rotation to build capacity
                                                                                                                             of more KPs.



8.0   Number of project staff     Modified     1. Outreach staff         Include only formal training sessions               Measure of adequate training and             - Reporting Unit: NGO projects            No
      trained                                  2. Peer educators         conducted by the programme or external              capacity building of project staff.         - Entered by: IP
                                               3. Project doctors        personnel                                                                                       - Frequency: Monthly
                                               4. Referral doctors
                                               5.Other clinic staff




                                                                                                                                                                                                                         Avahan Revised Core Indicators
                                                                                                                                                                                                                                          August 2006
                                                                                                                                                                                                                                   Program Infrastructure
                                                                                                 I. PROGRAM INFRASTRUCTURE AND BASELINE INFORMATION
                                                                                     To measure the status of the programme in each intervention site and across Avahan

                                  Status (New,
                                   Continue,         Target Group/                                                                                                                                              Annual
No.           Indicator                                                                    Definition                                Reason for Reporting                     Operational Guidelines                                        Comments
                                   Modify, or         Granularity                                                                                                                                               target
                                     Drop)
9.0   Number of clinics           Continue       General                The number of clinics that have ever run out of     Measure of drug availability at clinics   - Reporting Unit: NGO projects/ target    No          To be reported immediately
      reporting any STI drug                                            any STI treatment drugs in the reporting period.                                              groups
      stock outs within the                                                                                                                                           - Entered by: NGO
      last month                                                                                                                                                      - Frequency: Monthly

10.0 Number of Outreach       New                General                The number of Outreach units/Clinics that run    Measure of condom availability at            - Reporting Unit: NGO projects/ target    No          To be reported immediately
     units/Clinics reporting                                            out of condoms in the reporting period. An       outreach units and clinics                   groups
     any condom stock outs                                              outreach unit may be defined as the adminitative                                              - Entered by: NGO
     (for free condom                                                   unit for organizing outreach services, e.g. may                                               - Frequency: Monthly
     distribution) within the                                           be the same as a DIC/community center.
     last month


                                                                 Onetime variable required for calculating dashboard indicators (may be changed if new, more reliable information is available)
11.0 Estimated number of              New        1. Split by FSW / MSM The average number of penetrative sex acts with Measure of the volume of sex acts and    - Reporting Unit: Target groups                      No     Can be collected (in order of preference)
     sex acts with clients                       2. FSW typology        clients in a month for a key population member; risk profile of the KP; Contributes to - Entered by: IP                                             through formal behavioural surveys;
     per month per KP                            (optional)             separate numbers could be collected for each    denominator for condom coverage for    - Frequency: Update as required, at                          informal surveys of KPs, or peer
                                                                        typology if available                           risky acts (DA 8 and DA 9)             least annually                                               consultations; IP will complete calculation
                                                                                                                                                                                                                            to arrive at average month client volume for
                                                                                                                                                                                                                            FSW and MSM based on available data;
                                                                                                                                                                                                                            methodology should be documented and
                                                                                                                                                                                                                            shared with Avahan

12.0 Estimated wastage                New        1. Split by FSW / MSM Proportion of condoms distributed (mainly            Required to adjust for actual coverage of - Reporting Unit: Target groups                No     Can be collected through KP interviews,
     factor for free condoms                                            free condoms) that are not used to protect          sexual acts achieved through free         - Entered by: IP                                      peer consultations ; IP can devise method
                                                                        sex acts; includes factors like dumping,            condom distribution (DA 8 and 9)          - Frequency: Update as required, at                   to arrive at either one overall wastage
                                                                        double condom usage, breakage, expiry                                                         least annually                                        factor or separate factors for FSW and
                                                                                                                                                                                                                            MSM based on available data;
                                                                        and any other wrong use
                                                                                                                                                                                                                            methodology should be documented and
                                                                                                                                                                                                                            shared with Avahan. Default value = 15%

13.0 Number of monthly sex New                   1. Split by FSW/ MSM   Calculated as the product of estimated sex acts     Denominator for calculating dashboard      - Reporting Unit: NGO projects/ target        No
     acts with clients                           2. FSW typology        per month per KP and the size estimation;           indicator                                 groups
                                                 (optional)             calculated separately for FSW and MSM; can                                                    - Entered by: IP
                                                                        also be calculated separately for each FSW                                                    - Frequency: Annually updated; or
                                                                        typology and then summed across different                                                     recalculated when new data on size
                                                                        typologies if sex acts data is available by                                                   estimation and monthly sex acts becomes
                                                                        typology                                                                                      available
14.0 Number of key                               1. Split by FSw/MSM    Field number 14 is not an indicator - it is being
     population individuals                      and peers non-peers    used up for a one time data element (refer to the
     ever visited clinic at the                                         MIS worksheet format)
     beginning of Month 1




                                                                                                                                                                                                                          Avahan Revised Core Indicators
                                                                                                                                                                                                                                           August 2006
                                                                                                                                                                                                                                                            Service Uptake
                                                                                                                   II. SERVICE UPTAKE (including STI)
                                                                                     To measure breadth of coverage of clinical services and extent of change in health-seeking behavior

                                     Status (New,
                                                                                                                                                                                     Operational Guideline: Units of
                                      Continue,         Target Group/
 No.             Indicator                                                                         Definition                                 Reason for Reporting                 Reporting, Entered by, Entry format,                              Comments
                                      Modify, or       Granularity Split
                                                                                                                                                                                        Frequency of Reporting
                                        Drop)
 15.0 Number of individuals            Modified     1. FSW/ MSM                 Includes individuals being individually tracked by   Numerator for calculating dashboard           - Reporting Unit: NGO projects/ target Previous indicator was described as persons who were
      included in individual level                  2. FSW typology             the Avahan programme; i.e. KP assigned to a          coverage indicator (DA 6); Denominator       groups                                  registered by the programme. But due to differences in
      tracking by the project                                                   peer educator for routine outreach or assigned a     for calculating dashboard indicator on       - Entered by: IP                        definition of registration, the indicator is thus modified.
                                                                                tracking number for who basic information has        intensity of coverage (DA 7)                 - Frequency: Monthly
                                                                                been recorded - such as name, typology,
                                                                                location - and a unique ID assigned; KP may or
                                                                                may not necessarily be "registered" by the
                                                                                project
 16.0 Number of individuals            Modified     1. FSW/ MSM                 Includes individuals met through all forms of        Numerator for calculating dashboard           - Reporting Unit: NGO projects/ target Individuals to be counted through daily diary formats or
      contacted                                     2. Old/New                  outreach including 1-1, 1-group and for rapport      indicator on intensity of coverage (DA 7);   groups                                  other existing formats for recording outreach activity. .
                                                    3. Number met by            building (should report only individuals met, not    Peer split gives Numerator and               - Entered by: IP
                                                    peers vs. number met        cumulative contacts)                                 denominator for peer engagement              - Frequency: Monthly                    Emphasis should be on contacts made 1-1; however if IP
                                                    by ORW                      - The split by peer and ORW is required for          dashboard indicator (DA 2)                                                           has means for recording inviduals contacted during 1-group
                                                    4. FSW typology             calculating the metric on peer-led prevention,                                                                                            then those numbers can be included too.
                                                    (optional)                  therefore included here; individuals who are met
                                                    5. Indicate whether         by both peers and ORW can be shown as peer                                                                                                   IP's should also ensure that individuals contacted multiple
                                                    count includes 1:group      contact in the split                                                                                                                         times in a month are counted as one contact
                                                    sessions




 17.0 Number of individuals that       Continue     1. FSW/ MSM                 Discontinued individuals are those who are not Measure of programme's ability to engage            - Reporting Unit: NGO projects/ target Discontinued individuals must be removed from the number
      have discontinued with                                                    contactable by peers and have not accessed any KPs over the long term, i.e. ability to            groups                                  in Field 14 at the end of the reporting period
      project services in this                                                  programme services for at least three months.  sustain community involvement or                   - Entered by: IP
      reporting period                                                                                                         behaviour change.                                  - Frequency: Monthly
B. Condom Uptake
 18.0 Number of condoms                Continue     1. Split distribution by:   The source from where KP's (including                Partial numerator for calculating             - Reporting Unit: NGO projects/ target - Distribution split not being provided by several SLP's;
      distributed – free                            Peers / ORW / Clinic /      gatekeepers) directly receive condoms;               dashboard indicator (DA 8); Numerator        groups                                  distribution through peers and non-KP ORW's should be
                                                    DIC / Others                - Count condoms distributed by peers and             and Denominator by peer split for            - Entered by: IP                        segregated for reporting
                                                                                ORW's to be reported separately                      indicator on peer engagement..               - Frequency: Monthly                    - If Outreach workers are from the community include their
                                                                                - Count condoms stocked in condom depots,                                                                                                 numbers under peer
                                                                                lodges etc as "others", even if stocking is done
                                                                                by peer or ORW
 19.0 Number of condoms                  New        1. Socially marketed by     Socially marketed or commercial brands of       Partial numerator for calculating                  - Reporting Unit: NGO projects/ target If the IP also socially markets condoms, then that figure
      distributed through PSI and                   NGO / IP                    condoms available in the hotspot areas provided dashboard indicator (DA 8)                        groups                                  should be provided with this indicator;               PSI
      other hotspot sources                         2. Socially marketed by     by NGO / IP and PSI; other commercial sales                                                       - Entered by: IP                        monthly hotspot sales will be shared with NGO and IP for
                                                    PSI                         should be included if possible to estimate                                                        - Frequency: Monthly                    reporting purposes
                                                    3. From other
                                                    commercial sales
C. STI Clinic Uptake
 20.0 Number of key population       Continue       1. Split by FSW / MSM       Includes invidual KP's who receive STI               Measure of patient volume at clinics and     - Reporting Unit: NGO projects/ target     Several partners reporting total visits for this indicator -
        individuals receiving STI                   2.Split by new / repeat     consultations (STI symptom / follow up or            the splits provide STI related health        groups                                     only individuals to be reported
        consultations during the                    individuals                 regular STI check up) at the clinic during the       seeking behaviour among key populations      - Entered by: IP; Some splits calculated
        month                                       3. Split by peers / non-    month. Do not include KP's getting treated for       and peer engagement (DA 3)                   through CMIS based on data entry of
                                                                                                                                                                                                                             Split 1and 2 to be reported immediately;
                                                    peers                       general ailment but not receiving STI                                                             standard clinic register
                                                    4. Reason for visit - STI   consultation.                                                                                     - Frequency: Monthly
                                                    symptom / STI follow                                                                                                                                                     Split 3-6 need be reported only after computer-based
                                                    up / regular STI check Only include number of individuals from key                                                                                                       system is operational, i.e. data entry of individual
                                                    up / general ailment   populations here. Do not report partners, clients,                                                                                                patient records from standard register
                                                    5. Split by FSW        children or other family members of KP. The
                                                    typology (optional)    data should be separated according to new
                                                                           (individuals that are new to the clinic) and repeat
                                                    6. Split STI symptom   (individuals that have utilized the project clinic in
                                                    visits as new symptom previous reporting periods). If an individual
                                                    visit / repeat symptom accesses this service multiple times in a
                                                    visit (optional)       reporting period, count the individual once.




                                                                                                                                                                                                                                         Avahan Revised Core Indicators
                                                                                                                                                                                                                                                          August 2006
                                                                                                                                                                                                                                                Service Uptake
21.0 Number of key population     New         1. FSW / MSM               Number of unique individuals who accessed             Numerator for calculating dashboard          - Reporting Unit: NGO projects/ target    Does not need to be reported until IP is on CMIS
     individuals receiving STI                2. Peer / non=peer         clinic services in a quarter; individuals who visit   indicator (DA 11); important for assessing   groups
     consultations during the                 3. FSW typology            multiple times in a quarter should be counted         compliance with norm for quarterly STI       - Entered by: IP by entry of individual
     quarter                                                             only once                                             check up; Split by peers gives dashboard     patiernt data from standard clinic
                                                                                                                               indicator on peers as models (DA 4)          register; calculated through CMIS
                                                                                                                                                                            - Frequency: Quarterly
22.0 Number of key                New         1. Split by FSW / MSM Inidividuals making repeat visit for STI symptom Numerator for calculating dashboard                    - Reporting Unit: NGO projects/ target    Indicator and all granularity splits will be generated by the
      population individuals                                        (not first time STI symptom visit) who report    indicator on treatment seeking behaviour               groups                                    computer-based system;
      with repeat STI symptom                                       symptom duration as > 1 week.                    (DA 12 ) Split by peers gives dashboard                - Entered by: IP by entry of individual
                                                                                                                     indicator on peers as models (DA 5)                    patiernt data from standard clinic
      visits with symptom
                                                                                                                                                                            register; calculated through CMIS
      duration > 7 days
                                                                                                                                                                            - Frequency: Monthly

23.0 Number of STI                Continue    1. Split by FSW / MSM      The number of STI consultations during the       Measure of the total volume of STI                - Reporting Unit: NGO projects/ target    Splits 1 , 2 and 3 should be reported immediately;
     consultations                            2.Split by KP / non KP     reporting period. Should also include general    consultations as individuals might seek           groups
                                              3. Split number of         ailment walk ins where STI consultations are     multiple consultations in a month                 - Entered by: IP                          Split 4 to be calculated through computer-based system
                                              consultations by clinic    also provided. The total number of consultations                                                   - Frequency: Monthly
                                              type - static / outreach   is reported and not the number of individuals.
                                              / referral provider        - Separate consultations for KP from non KP -
                                              4. Split by FSW            who might include clients, regular partners or
                                              typology (optional)        general population who receive STI
                                                                         consultations. Include consultations at mobile
                                                                         clinics under outreach clinic numbers




24.0 Number of key population           New   1. FSW/MSM                 Key populations attending clinic for any STI          Numerator of dashboard indicator              - Reporting Unit: NGO projects/ target To be reported immediately
     individuals undergoing STI               2. Peers / non-peers       consultation (symptom, follow up or regular STI       measuring the acceptability of STI           groups
     consultation who agree to                                           checkup) who undergo to internal examinations         management among community (DA 13)           - Entered by: Calculated by system
     internal examinations                                               (vaginal or anal) as part of the consultation                                                      from clinic encounter forms
                                                                                                                                                                            - Frequency: Monthly
25.0 Number of STI syndromes      Continue    1. Split by FSW / MSM      IP should report the number of syndromes              Measure of the STI case profile seen at      - Reporting Unit: NGO projects/ target  Split 2 will be generated through the computer-based
     diagnosed by type                        / IDU                      according to the type of syndrome. A syndrome         the clinic; can be used to calculate a ratio groups                                  system
                                              2. Split by FSW            refers to the diagnosis by the health care            of GUD to UD; High ratio suggests impact - Entered by: IP
                                              typology (optional)        provider. As the syndrome is tracked and not          of STI control on population.                - Frequency: Monthly
                                                                         the individual, a person who has multiple
                                                                         syndromes should be counted under each
                                                                         syndrome. There are six syndromes -
                                                                         vaginal/cervical discharge - (VCD)", "genital
                                                                         ulcer disease - (GUD)", "lower abdominal pain -
                                                                         (LAP)", "urethral discharge - (UD)", "ano-rectal
                                                                         discharge (ARD)", and "others". Report
                                                                         separately for project run and provider referral
                                                                         clinics.
26.0 Number of key population     Continue    1. Split by FSW / MSM The number of individuals in the target         Measure of individuals covered by                       - Reporting Unit: NGO projects/ target  Split 1 to be reported immediately;       Splits 2 and 3 will be
     individuals receiving                    2. Split by FSW        community not reporting symptoms who           asymptomatic treatment, a key STI                       groups                                  generated through the system
     treatment for asympto-                   typology (optional)    received treatment for gonorrhea and chlamydia management strategy                                     - Entered by: NGO from clinic encounter
     matic infections                         3. Split by first time                                                                                                        form
                                              asymptomatic                                                                                                                  - Frequency: Monthly
                                              treatment
27.0 Number of general ailments Continue      1. Split by KP / non-KP The total number of general consultations at the Measure of appropriate traffic at the clinic         - Reporting Unit: NGO projects/ target    To be reported immediately
     treated                                  2. Split KP by FSW /    clinic. Determined by reason for visit being     (i.e. compared to number of people who               groups
                                              MSM                     general ailment and no internal exam was done were given an STI consult)                              - Entered by: IP
                                                                      and no syndrome diagnosed and only "other                                                             - Frequency: Monthly
                                                                      treatment" is given. Should not include any
                                                                      instances of general ailments where STI
                                                                      consultations are also provided.
28.0 Number of key population     Continue    1. Split by FSW / MSM A counseling session takes place between a          Measure of breadth of counseling                    - Reporting Unit: Individuals             To be reported immediately
     individuals counseled                                          counselor and a beneficiary in the STI clinic or    coverage - important for behaviour                  - Entered by: Calculated by system
                                                                    drop in center. If one individual receives multiple change                                              - Frequency: Monthly
                                                                    counseling sessions in a reporting period, the
                                                                    individual should be counted once.

29.0 Total number of key          Modified    1. Split by FSW / MSM Cumulative new visits by KP's from the                                                   - Reporting Unit: NGO projects/ target
                                                                                                                               Numerator for uptake of clinic services                               For the first time this is calculated all the new visits in
     population inviduals who                 2. FSW typology       beginning of the clinic                                    dashboard indicator (DA 10)   groups                                  monthly reports since clinics opened will need to be
     have visited the clinic at               (optional)                                                                                                     - Entered by: NGO from Clinic encounter cumulated
     least once                                                                                                                                              form
                                                                                                                                                             - Frequency: Monthly
                                                                                               BEHAVIOUR CHANGE (COLLECTED THROUGH CLINIC FORMS)
                                                                                                                                                                                                                   Avahan Revised Core Indicators
                                                                              To measure the extent of behaviour change related to risk reduction among key population members                                                            August 2006
                                                                                                                                                                                                                                           Service Uptake
    30.0 Number of key population       New       1. FSW/MSM                Amongst total key population attending clinics, Numerator of dashboard indicator on key - Reporting Unit: NGO projects/ target   The MSM/FSW split should be reported immediately; the
         individuals reporting                    2. FSW Typology           proportion of individuals who report condom use condom use behavioural outcome (DA      groups                                   FSW typology and first time split should be generated
         condom use at last sex (as               (optional)                at last sex; data to be collected by counselor  14)                                     - Entered by: Calculated by system       through the computer-based system
         collected during counseling              3. First time STI visit   during clinic visit                                                                     from clinic encounter forms
         at the clinic)                           vs. repeat visit                                                                                                  - Frequency: Monthly                     Only meant for routine monitoring purposes and trends;
                                                  (generated through                                                                                                                                         must not to be quoted as proxy for condom use among
                                                  computerized system)                                                                                                                                       population or for input to modeling exercise


Mandatory fields for clinical register (to be transcribed from the clinical encounter forms); All STI related indicators can be calculated from these fields
A     Individual ID No.                Continue                            Unique tracking id that is entered into the CMIS                                                                                  In the computerized system the ID numbers should be
                                                                           and links to key personal information fields                                                                                      linked to whether the person is a peer educator. This is
                                                                           including KP group, typology, whether peer etc                                                                                    needed to calculate dashboard indicators on peer early
                                                                         1                                                                                                                                   adoption (DA 3 , DA 4, and DA 5)
B     Date of Visit                    Continue                            Day, Month, Year
D     First visit to clinic (Y/N)      Continue                            Field to track whether first by individual to any                                                                                 Computerized system, should also be able to calculate
                                                                           clinic operated by the IP; i.e. should be the first                                                                               number of repeat symptomatic STI visits used for
                                                                           record of that ID number                                                                                                          Dashboard Indicator (DA 13)
D     Reason for visit (Regular        Continue                            Reason for visiting clinic - all clinics targeting
      (STI) visit, STI symptoms,                                           routine quarterly STI check up for each KP
      Follow-up, General ailment)

E         Duration of symptoms         Continue                             Recorded for longest duration of most recent
                                                                            symptoms; =<2 days, 3-7 days, 8-14 days, >2
                                                                            weeks;For indicator calculations, categorized
                                                                            primarily < or > 7 days)
F         Internal Exam conducted       New                                 Whether speculum or proctoscopic examination                                                                                     To be added to updated clinic register (should already be
          (Y/N)                                                             conducted during STI consultation                                                                                                part of clinical encounter forms)

G         STI syndromes diagnosed      Continue                             Syndrome diagnosed
                                                                            1. Vaginal/cervical discharge - (VCD)",
                                                                            2. Genital ulcer disease - (GUD)",
                                                                            3. Lower abdominal pain - (LAP)",
                                                                            4. Urethral discharge - (UD)",
                                                                            5. Ano-rectal discharge (ARD)",
                                                                            6. Others
H         No Syndrome diagnosed        Continue                             If none of the syndromes above
I         Asymptomatic                 Continue                             Yes, if patient, does not report any symptoms
                                                                            (syndrome may still be diagnosed based on
                                                                            clinical signs upon internal examination

J         STI treatment prescribed     Continue                             Treatment kit prescribed for syndrome
                                                                            diagnosed (Each SLP has a standard list of
                                                                            treatment packs, sometimes described by color,
                                                                            but corresponding to a particular treatment
                                                                            combination
K         Asymptomatic treatment       Continue                             Treatment pack given for asymptomatic GC/CT:
          given (Y/N)
L         Counseling given (Y/N)       Continue                             Whether counseling with condom demonstration
                                                                            done
M         Condom use at last sex        New                                 Question asked during routine patient counseling                                                                                 To be added to updated clinic register (should already be
          (Y/N)                                                             by counsellor.                                                                                                                   part of clinical encounter forms)
N         Number of Condoms given      Continue                             Number of condoms given to patient by
                                                                            counselor or doctor
O         Referral for VCT/Oth Med     Continue                             Whether referred to VCT, HIV / AIDS care and
          (including HIV/AIDS care)                                         treatment or other medical services (including
          (Y/N)                                                             TB)
P         RPR test (Yes/No             Continue                             Either referral for testing or on site testing




                                                                                                                                                                                                                        Avahan Revised Core Indicators
                                                                                                                                                                                                                                         August 2006
                                                                                                   III. COMMUNITY MOBILIZATION AND ENABLING ENVIRONMENT
                                                                                                                                                                                                                                        Enabling Environment
A. Enabling environment
                                             To measure the extent to which the programme has created a supportive environment that actively responds to community problems and reduces marginalization
                                        Status (New,
                                                                                                                                                                                Operational Guideline: Units of
                                         Continue,      Granularity split for
 No.              Indicator                                                                        Definition                                Reason for Reporting                 Reporting, Entered by, Entry                           Comments
                                         Modify, or         reporting
                                                                                                                                                                                format, Frequency of Reporting
                                           Drop)
 31.0 Number of reported incidents of     Modified     1. FSW/MSM               Rights violations include any incident that violates Denominator of dashboard indicator for      - Reporting Unit: NGO projects/   Critical determinant of quality of environment ; current
      rights violations against                                                 Indian law where one or more community               responding to police rights violations (DA target groups                      reporting very erratic. Tracking should be done regularly
      community by police                                                       members are subject to extortion, abuse,             15)                                        - Entered by: IP                   through peers and consolidated by NGO in a separate
                                                                                violence or unlawful arrest by police or goons; do                                              - Frequency: Monthly               register
                                                                                not include incidents where the police might                                                                                       NGO should determine, in consultation with community
                                                                                have acted as per provisions of Indian law                                                                                         if the reported incident is a rights violation before
                                                                                                                                                                                                                   reporting it here
 32.0 Number of reported cases of         Modified     1. FSW/MSM                Addressal of cases means that peers and/or       Numerator of dashboard indicator for    - Reporting Unit: NGO projects/          To instill urgency for appropriate responses from
      rights violations addressed by                                            NGO staff should meet with affected community responding to police rights violations (DA target groups                             peers/NGO staff in such cases.
      NGO or CBO/SHG within 24                                                  members and the concerned police officials within 15)                                    - Entered by: IP
      hours                                                                     24 hours and arrange for appropriate legal help                                          - Frequency: Monthly

 33.0 Number of individuals who were New               1. FSW/MSM               Approved government ID cards include ration         A dashboard indicator (DA 16); To be       - Reporting Unit: NGO projects/     Only report cases where the project has directly
      assisted by the programme to                                              card, voter ID card, or PAN cards. Where            monitored for increases over time         target groups                        facilitated the issuance of the ID card
      get a government ID card (e.g.                                            individuals might have more than one ID card,                                                 - Entered by: IP
      ration card or bank account)                                              please count as one                                                                           - Frequency: Monthly

B. Community Ownership
                                                                                         To measure the active level of representation of the community in the programme
                                        Status (New,
                                                                                                                                                                                Operational Guideline: Units of
                                         Continue,         Target Group/
 No.              Indicator                                                                        Definition                                Reason for Reporting                 Reporting, Entered by, Entry                           Comments
                                         Modify, or         Granularity
                                                                                                                                                                                format, Frequency of Reporting
                                           Drop)
 34.0 Number of indviduals who are          New        1. KP/ Non KP            Programme committes include all committees set Numerator (number of KP members) and            - Reporting Unit: NGO projects/     To capture the extent of community representation on
      members of various programme                     2. Community split by    up to address issues that are directly related to denominator (sum of KP and non-KP           target groups                        committees dedicated to programme activities; distinct
      committees (includes                             FSW/MSM and              elements of the prevention project as opposed to members) of dashboard indicator (DA 17)      - Entered by: IP                     from community committees which might be set up
      community and non-community                      Peer/Non Peer            direct community issues - for example, clinic                                                 - Frequency: Monthly                 around community issues
      members)                                                                  committee, DIC committee etc

 35.0 Number of individual community        New        1. FSW/MSM               Membership of committees as defined above        Numerator for dashboard indicator on KP - Reporting Unit: NGO projects/           Information to be obtained through minutes of
      members of programme                                                      (#34.0). Assuming at least one committee         members' active participation in        target groups                             programme committee meetings.
      committees who attended                                                   meeting per month, individuals should be counted programme committees.                   - Entered by: IP
      committee meetings during the                                             once per reporting period                                                                - Frequency: Monthly
      month
C. Community Mobilization
                               To measure the extent of mobilization among community members not having direct relationship with the programme (peers excluded) to assess how active existing community groups are
                                        Status (New,
                                                                                                                                                                                Operational Guideline: Units of
                                         Continue,         Target Group/
 No.              Indicator                                                                        Definition                                Reason for Reporting                 Reporting, Entered by, Entry                           Comments
                                         Modify, or         Granularity
                                                                                                                                                                                format, Frequency of Reporting
                                           Drop)
 36.0 Number of key population              New        1. FSW/MSM               To include membership of KP individuals in          Numerator (number of non-peer          - Reporting Unit: NGO projects/         Gross indicator for community participation in
      individuals who are members of                   2. Peer/ Non-Peer        various committees that are primarily organized     members) and denominator (sum of peer target groups                            committees set up for non-programme issues.
      all community groups (including                                           to address issues important to the community (for   and non-peer members) of dashboard    - Entered by: IP
      CBO / SHG / community                                                     example, violence, financial security, education,   indicator (DA 18)                     - Frequency: Monthly                     Comments sought on what all types of community
      committees)                                                               advocacy, welfare, cultural arts etc);                                                                                             groups should be included
                                                                                - individuals who are members of multiple
                                                                                committees should be counted only once;
                                                                                - should not include community membership in
                                                                                programme committees - which is a separate
                                                                                indicator


 37.0 Number of individual members          New        1. FSW/MSM               Membership of committees as defined above in Numerator for dashboard indicator on KP - Reporting Unit: NGO projects/               Information to be obtained through minutes of
      of community committees who                                               (#36.0). Assuming at least one committee         members' active participation in    target groups                                 community committee meetings.
      attended committee meetings                                               meeting per month, individuals should be counted community committees.               - Entered by: IP
      during the month                                                          once per reporting period                                                            - Frequency: Monthly




                                                                                                                                                                                                                             Avahan Revised Core Indicators
                                                                                                                                                                                                                                              August 2006
                                                                                                                                                                                                                 Enabling Environment
38.0 Number of self-help groups      Continue   1. FSW/MSM   Self help groups are any voluntary groups set up   Programme status indicator for            - Reporting Unit: NGO projects/   Currently not being reported by several SLP's
                                                             and managed entirely by KP community               community mobilization.                  target groups
                                                             members around any set of issues deemed                                                     - Entered by: IP
                                                             important by members of the group; it does not                                              - Frequency: Monthly
                                                             necessarily have to engage in savings or
                                                             microfinance activity;
                                                             - should only report self help groups that were
                                                             formed as a result of mobilization activities
                                                             undertaken by the project
39.0 Total membership of self-help    New       1. FSW/MSM   Number of members in the self-help groups          Measure of breadth of membership in self- - Reporting Unit: NGO projects/   To be reported immediately
     groups                                                  reported in in Field # 40                          help groups                              target groups
                                                                                                                                                         - Entered by: IP
                                                                                                                                                         - Frequency: Monthly




                                                                                                                                                                                                      Avahan Revised Core Indicators
                                                                                                                                                                                                                       August 2006

								
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