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Guidelines for second generation HIV surveillance - World Health ...

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Networks (social, sexual)<br />

Outcome<br />

Persons who inject drugs<br />

Precision<br />

Prevalence<br />

Probability sample<br />

Rapid situation analysis (RSA)<br />

Risk factor<br />

Saturation<br />

Second <strong>generation</strong> <strong>surveillance</strong><br />

Sex worker (SW)<br />

• Direct<br />

• Indirect<br />

Surveillance group<br />

Targeted interventions<br />

Triangulation<br />

Transmission dynamics<br />

Proxy groups<br />

Reliability<br />

Risk intensity<br />

The set of relationships among members of a defined population over a specified period of<br />

time. The relationships can be defined in multiple ways:<br />

• social networks refer generally to the relationships among those who know each other<br />

through friendship or acquaintanceship<br />

• sexual networks refer to the linkages between members of a group based on who has/had<br />

a sexual relationship<br />

The behavioural changes among individuals or organizations/institutions related to changing<br />

the likelihood of transmitting disease or <strong>for</strong> utilizing care and treatment services<br />

Those who inject drugs <strong>for</strong> recreational purposes, that is, <strong>for</strong> non-medical purposes<br />

In the context of <strong>surveillance</strong> and estimates, refers to how close an estimate is to other<br />

estimates made using the same methodology; that is, when a method is repeated, the degree<br />

to which a result is consistent<br />

The proportion of people who currently have a disease or health condition in a defined<br />

population<br />

A group of methods in sampling in which the probability of a respondent being selected <strong>for</strong><br />

the sample is known and can be used in the analysis of survey data. This results in data that<br />

are representative of the larger population.<br />

A method <strong>for</strong> characterizing groups in a geographical unit which can be conducted quickly<br />

and with limited resources. Most rapid situation analyses are used during planning <strong>for</strong> an<br />

intervention.<br />

A behavioural, biological or environmental factor associated with a higher likelihood of<br />

acquiring or transmitting a disease<br />

When the epidemic is no longer increasing, a level of <strong>HIV</strong> prevalence is reached among a<br />

population. A majority of persons who are susceptible to infection have already been infected.<br />

The process of data collection and analyses used to track the course of an <strong>HIV</strong> epidemic,<br />

identifying where the most new infections are likely to be occurring and assessing the<br />

current burden of disease. Methods include size estimation of key populations at higher<br />

risk, biological and behavioural probability surveys, facility-based sentinel <strong>surveillance</strong>, case<br />

reporting and routine monitoring data.<br />

Person who sells sex <strong>for</strong> money or gifts<br />

• Direct sex workers derive their primary income from selling sex. This group includes<br />

brothel-based and street-based sex workers.<br />

• Indirect sex workers work in establishments other than those purely meant <strong>for</strong> sex work.<br />

For example, they may work as waitresses, bartenders, dancers, masseuses and then sell<br />

sex to clients they meet through their place of work.<br />

A defined group among whom a <strong>surveillance</strong>-related data collection activity is conducted, to<br />

make an estimate about the level of disease, behaviour or other risk characteristic of that<br />

group<br />

<strong>HIV</strong> prevention interventions that are focused on key populations at higher risk <strong>for</strong> <strong>HIV</strong><br />

exposure. These often include a peer education strategy to deliver behaviour change<br />

communication and commodities such as condoms, lubricants and needles/syringes<br />

A data analysis process in which multiple sources of data are considered together to come to<br />

a conclusion on a question related to an epidemic or intervention<br />

The mechanism by which a communicable disease occurs within a population. It defines the<br />

size and direction of an epidemic.<br />

A group with a large proportion of members who engage in a risk behaviour associated with<br />

acquiring or transmitting <strong>HIV</strong>. Surveillance activities may be conducted among proxy groups<br />

when it is not feasible to sample specifically defined key populations at higher risk <strong>for</strong> <strong>HIV</strong><br />

exposure.<br />

The degree to which an operational method provides consistent results if repeated multiple<br />

times<br />

The degree to which a key population practises behaviours associated with a high risk of<br />

acquiring or transmitting <strong>HIV</strong><br />

Evaluating a National Surveillance System<br />

61

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