PMTCT, and National's - Health Systems Trust

DESCRIPTION OF ROUTINE PMTCT INDICATORS
PRESENTED IN THIS REPORT
Indicator
HIV testing rate
amongst
pregnant
women
HIV test results
received rate
HIV positive rate
amongst
pregnant
women tested
Formula for calculation
Num: Number of
pregnant women who
have an HIV test
Den: Number of first
antenatal visits / bookings
Num: Number of
pregnant women who
receive an HIV test result
Den: Number of
pregnant women who
have an HIV test
Num: Number of HIV
positive test results
Den: Number of
pregnant women who
have an HIV test
Definition
This indicator measures the proportion
of antenatal clients who agree to be
tested for HIV. It should also include
women tested post partum prior to
discharge.
This indicator measures the proportion
of antenatal clients who are tested
for HIV that receive their test results
(it includes both positive and negative
test results).
This indicator measures the proportion
of pregnant women who test positive
for HIV from amongst those who
accept to be tested.
Explanatory notes
The determination of first ANC visits in urban sites is complex
as many cases are referred after booking, thus in some sites,
first visits can represent the first time a women accessed testing
rather than the first antenatal visit.
In terms of policy, HIV testing is only done after pre-test
counselling, thus low testing rates may be indicative of poor
counselling infrastructure.
Although the data in this report indicates a high proportion
of test results received, staff were generally concerned about
the lack of organisational infrastructure to ensure that women
received test results.
The prevalence rates amongst women attending the pilot sites
are in many instances higher than the rate in the annual
antenatal sero-prevalence survey. It is important to note that
the pilot sites were selected because they are in high HIV
prevalence areas therefore these high rates are not totally
unexpected.
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