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Aprm indicators on aids

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This presentation proposes a set of core indicators for AIDS in the APRM process beyond 2015.

This presentation proposes a set of core indicators for AIDS in the APRM process beyond 2015.

Published in Health & Medicine
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  • 1. Strengthening AIDS accountability and its measurement in African Union Member States Setting core indicators for 2015 and beyond 11/8/2013 1
  • 2. Background • By decision Assembly/AU/Dec.477 (XXX) May 2013, on the report of AIDS Watch Africa (AWA), the AU Assembly “DECIDES to include AIDS, TB and Malaria indicators as well as those of Maternal, Newborn and Child Health in the African Peer Review Mechanism (APRM) as part of our accountability for the implementation undertaken and DIRECTS the Commission to facilitate this.” Setting core indicators for 2015 and beyond 11/8/2013 2
  • 3. 1. HIV incidence Short definition: New HIV infections HIV incidence, rate Rationale: The incidence rate is the number of new HIV infections in a population during a certain time period. This measures progress towards reducing new HIV infections. Source: Countries, through Global AIDS Response Progress Reporting (UNAIDS) Spectrum estimates Setting core indicators for 2015 and beyond 11/8/2013 3
  • 4. 2. Access to treatment Short definition: Percentage of adults and children estimated living with HIV, who are receiving antiretroviral therapy Rationale: Antiretroviral therapy (ART) is reducing HIV-related morbidity and mortality amongst those living with HIV and reduces transmission of HIV. Countries estimate the people in need of treatment using their own treatment guidelines, but this indicator measures overall coverage, comparable across countries. Source: Countries, through Global AIDS Response Progress Reporting (UNAIDS) Spectrum estimates Setting core indicators for 2015 and beyond 11/8/2013 4
  • 5. 3. Stigma and discrimination Short definition: Percentage of women and men aged 15-49 who report discriminatory attitudes towards people living with HIV Rationale: Discrimination is a human rights violation and stigma related to HIV and AIDS is a major bottle neck for people accessing prevention, testing, treatment, care and support. Measuring stigma and discrimination will enable governments to take appropriate measure to reduce stigma within the community and among key populations. Source: Countries, through Global AIDS Response Progress Reporting (UNAIDS) Democratic Health Surveys/AIDS Indicator Surveys/Multiple Indicator Cluster Surveys Setting core indicators for 2015 and beyond 11/8/2013 5
  • 6. 4. HIV testing Short definition: Percentage of women and men aged 15-49 who received an HIV test in the past 12 months and know their results Rationale: In order to protect themselves and to prevent infecting others, it is important for individuals to know their HIV status. Knowledge of one’s status is the critical factor in the decision to seek treatment. Source: Countries, through Global AIDS Response Progress Reporting (UNAIDS) Setting core indicators for 2015 and beyond 11/8/2013 6
  • 7. Additional cross-cutting indicators to consider: # A B C Indicator Intimate partner violence Short definition Proportion of ever-married or partnered women aged 15-49 who experienced physical or sexual violence from a male intimate partner in the past 12 months Financial accountability on health Percentage of health expenditure of country’s total budget/expenditure Governance and public accountability To what extent the implementation of the national AIDS response and results obtained are being regularly (i.e. annually) reviewed and accounted for in public by high level government authorities such as Parliament or Cabinet? How are the results shared and corrective measures publicized? Setting core indicators for 2015 and beyond Rationale It measures progress in reducing prevalence of intimate partner violence against women (as an outcome itself and as a proxy for gender inequality). Measures progress against the Abuja declaration target of having 15% of total budget spent on health. Publicly shared review mechanisms and policy level decisions are an integral part of transparent, democratic and empowering process to engage broad spectrum of society to a change process. Policy question on AIDS should be incorporated to the policy and governance section of the questionnaire. Source of data / tools Countries, through Global AIDS Response Progress Reporting (UNAIDS) Democratic Health Surveys/AIDS Indicator Surveys/Multiple Indicator Cluster Surveys Ministry of Finance Budget/Spending analysis APRM questionnnaire 11/8/2013 7
  • 8. Crash course on M&E – in 1 minute Global HIV/AIDS M&E Framework & Illustrative Data Most of APRM indicators Roadmap indicators Assessment & Planning Input (Resources) Situation Analysis Response Analysis Stakeholder Needs Resource Analysis Collaboration plans Program Development Data Staff Funds Materials Facilities Supplies Activities Output Outcomes Impact ( Interventions, Services) (Immediate Effects) (Intermediate Effects) (Long-term Effects) # Staff Trained # Condoms Provided # Clients Served # Tests Conducted Provider Behavior Risk Behavior Service Use Clinical Outcomes Quality of Life Social Norms HIV prevalence STI Incidence AIDS Morbidity AIDS Mortality Economic Impact Trainings Services Education Treatments Interventions Program-based Data Population-based Biological, Behavioral & Social Data In addition to monitoring these data types, select programs conduct process & outcome evaluations