This document provides guidance on the indicator "Percentage of individuals from priority populations who completed a standardized HIV prevention intervention." It defines key terms like priority populations, standardized interventions, and minimum intervention components. It also provides an example of how to calculate coverage rates for different priority populations and report overall results. The goal is to monitor progress in delivering effective HIV prevention programs to groups at high risk of infection.
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The user-friendly snapshots explore several important dimensions of the EPHS in each country, such as how government policies contribute to the service coverage, population coverage, and financial coverage of the package. There is no universal EPHS that applies to every country in the world, nor is it expected that all health expenditures in any given country be directed toward provision of that package. Countries vary with respect to disease burden, level of poverty and inequality, moral code, social preferences, operational challenges, financial challenges, and more, and a country’s EPHS should reflect those factors.
Each country snapshot includes annexes that contain further information about the EPHS. When available, this includes the country’s most recently published package; a comparison of the country’s package to the list of priority reproductive, maternal, newborn and child health (RMNCH) interventions developed by the Partnership for Maternal, Newborn and Child Health in 2011, and a profile of health equity in the country.
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Since 2015, Sehat Sahulat Programme (SSP), an initiative of Pakistan’s Federal, Provincial and Regional Governments, has been working to provide financial protection to poor families against catastrophic health expenditure. Towards the end of 2018, the SSP was operating in 38 districts of Pakistan, covering over 3.2 million families. The first of its kind in the country, the Programme provides inpatient care to those living below the poverty line of US $2 per day. Since inception, the Programme has been supported by GIZ.
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Essential Package of Health Services Country Snapshot Series: 24 Priority Cou...HFG Project
A new series of country profiles analyzes the governance dimensions of Essential Packages of Health Services (EPHS) in the 24 Ending Preventable Child and Maternal Deaths (EPCMD) priority countries. An EPHS can be defined as the package of services that the government is providing or is aspiring to provide to its citizens in an equitable manner. Essential packages are often expected to achieve multiple goals: improved efficiency, equity, political empowerment, accountability, and altogether more effective care.
The user-friendly snapshots explore several important dimensions of the EPHS in each country, such as how government policies contribute to the service coverage, population coverage, and financial coverage of the package. There is no universal EPHS that applies to every country in the world, nor is it expected that all health expenditures in any given country be directed toward provision of that package. Countries vary with respect to disease burden, level of poverty and inequality, moral code, social preferences, operational challenges, financial challenges, and more, and a country’s EPHS should reflect those factors.
Each country snapshot includes annexes that contain further information about the EPHS. When available, this includes the country’s most recently published package; a comparison of the country’s package to the list of priority reproductive, maternal, newborn and child health (RMNCH) interventions developed by the Partnership for Maternal, Newborn and Child Health in 2011, and a profile of health equity in the country.
Webinar on the first actuarial analysis of Pakistan’s Sehat Sahulat Programme...Impact Insurance Facility
Since 2015, Sehat Sahulat Programme (SSP), an initiative of Pakistan’s Federal, Provincial and Regional Governments, has been working to provide financial protection to poor families against catastrophic health expenditure. Towards the end of 2018, the SSP was operating in 38 districts of Pakistan, covering over 3.2 million families. The first of its kind in the country, the Programme provides inpatient care to those living below the poverty line of US $2 per day. Since inception, the Programme has been supported by GIZ.
The webinar is aimed at those interested in learning more about what actuarial analyses is in the context of a public health programme such as SSP, why it is important and how others can apply the same thinking in their analytical work.
PSO Workshop, Bangkok - Introduction to the principles of the PCP and the Glo...EuFMD
Progressive Control Pathway Support Officer (PSO) workshop
6-8 August 2019
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PDF file of National Strategic Plan for Elimination of TB ( 2017-2025).
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Hiv Prevention Nevada #ENDHIV #AIDSFREE#GOMOJO, INC.
Quality Management
The Nevada Ryan White Part B Program is committed to improving the quality of care and services for persons living with HIV and AIDS through continuous quality monitoring and improvement in a comprehensive performance measurement program.
NEVADA STATEWIDE HIV CONTINUUM OF CARE
The Nevada Statewide HIV Care Continuum and HIV Fast Facts shows all HIV/AIDS positive persons in the State of Nevada. This data includes persons who are engaged in care either in private clinics or a Ryan White Program, as well as, persons who are not engaged in care or not connected to a Ryan White Program.
Nevada Statewide HIV Continuum of Care 2017
Nevada Statewide HIV Continuum of Care 2016
2017 HIV Fast Facts
NEVADA RYAN WHITE PART B HIV CONTINUUM OF CARE
The Nevada Ryan White Part B Program HIV Care Cascade shows HIV/AIDS positive persons who have engaged in care and received at lease one service from the Nevada Ryan White Part B Program during the reported year.
HIV Care Cascade Calendar Year 2017
HIV Prevention Data Calendar Year 2017
NEVADA RYAN WHITE PART B QUALITY MANAGEMENT
The mission of the Nevada Ryan White Part B Program Quality Management Program is to improve access and ensure the highest quality medical care and supportive services through continuous evaluation, strategic planning and assessment, and the implementation of quality management and quality improvement projects.
Quality Management Plan 2018-2019
Quality Plan Performance Review 2018 Mid-Year Report
Calendar Year 2018 Reports
Viral Suppression by Disparities CY 2018- Age
Viral Suppression by Disparities CY 2018- Gender
Viral Suppression by Disparities CY 2018- HIV Risk Factor
Viral Suppression by Disparities CY 2018- Housing Status
Viral Suppression by Disparities CY 2018- Race and Ethnicity
Viral Suppression by Disparities CY 2018- All Disparity Data
Viral Suppression by Disparities CY 2018- ADAP Assistance
Grant Year 2018-2019 Mid-Year Reports
Viral Suppression by Disparities 2018 Mid-Year Report
Viral Suppression by Disparities 2018 Mid-Year Report-Age
Viral Suppression by Disparities 2018 Mid-Year Report-Gender
Viral Suppression by Disparities 2018 Mid-Year Report-HIV Risk Factor
Viral Suppression by Disparities 2018 Mid-Year Report-Housing
Viral Suppression by Disparities 2018 Mid-Year Report-Race and Ethnicity
Ryan White Part B Calendar Year 2017 Statistics
If you have any questions concerning Quality Management, please contact the person(s) below:
Samantha Penn, MBA
Management Analyst I
(Quality Assurance & Evaluation Analyst)
Phone: (702) 486-8103
Email: spenn@health.nv.gov
Core practices that are moving from a pilot state to implementation at scale: Many of the
barriers facing HIV programs are common across countries. PEPFAR’s ECTs (described below in
Sections 2.3.2 and 2.3.3) identified common issues affecting countries at various levels of
epidemic control and then developed a compendium of evidence-based solutions, approaches
and case-studies that highlight successful means of addressing common barriers. Additional
evidence-based approaches and case-studies will be incorporated into this living compendium
over time. As highlighted in this PEPFAR Solutions Platform, these practices can be rapidly
adapted and scaled to move countries forward.
Key considerations for all PEPFAR programs include:
• Bringing Interventions to Scale with Fidelity: Getting to HIV epidemic control is dependent on
several factors; not the least of which is the ability to rapidly scale successful interventions with
fidelity and demonstrated impact. However, the logistics of cost- effective programmatic scale
have proven challenging, with several implementation barriers. Implementation science
defines scalability as the capacity to expand or extend an intervention to account for a growth
factor that aims to fill a gap or address unmet need in a defined population group/geographic
area.
• Data and Information Technology: The enabling environment for data and information
technology is rapidly maturing across countries, creating space, opportunity, and needed
political will to harness the Data Revolution for epidemic control. OUs should consider
innovative ways to use data and information technology to improve efficiency and
sustainability in achieving epidemic control, beyond immediate PEPFAR indicator data
collection needs. As highlighted in the Data Revolution Innovation Toolkit, available on the
PEPFAR SharePoint, OUs are encouraged to explore, adapt, and scale these and other data
driven approaches to move country epidemic control forward.
Nevada profile 2015 stda re'port for cdc#GOMOJO, INC.
Core practices that are moving from a pilot state to implementation at scale: Many of the
barriers facing HIV programs are common across countries. PEPFAR’s ECTs (described below in
Sections 2.3.2 and 2.3.3) identified common issues affecting countries at various levels of
epidemic control and then developed a compendium of evidence-based solutions, approaches
and case-studies that highlight successful means of addressing common barriers. Additional
evidence-based approaches and case-studies will be incorporated into this living compendium
over time. As highlighted in this PEPFAR Solutions Platform, these practices can be rapidly
adapted and scaled to move countries forward.
Key considerations for all PEPFAR programs include:
• Bringing Interventions to Scale with Fidelity: Getting to HIV epidemic control is dependent on
several factors; not the least of which is the ability to rapidly scale successful interventions with
fidelity and demonstrated impact. However, the logistics of cost- effective programmatic scale
have proven challenging, with several implementation barriers. Implementation science
defines scalability as the capacity to expand or extend an intervention to account for a growth
factor that aims to fill a gap or address unmet need in a defined population group/geographic
area.
• Data and Information Technology: The enabling environment for data and information
technology is rapidly maturing across countries, creating space, opportunity, and needed
political will to harness the Data Revolution for epidemic control. OUs should consider
innovative ways to use data and information technology to improve efficiency and
sustainability in achieving epidemic control, beyond immediate PEPFAR indicator data
collection needs. As highlighted in the Data Revolution Innovation Toolkit, available on the
PEPFAR SharePoint, OUs are encouraged to explore, adapt, and scale these and other data
driven approaches to move country epidemic control forward.
Nevada state health division screen shot of site #GOMOJO, INC.
Nevada Prevention and Care Programs
Core practices that are moving from a pilot state to implementation at scale: Many of the
barriers facing HIV programs are common across countries. PEPFAR’s ECTs (described below in
Sections 2.3.2 and 2.3.3) identified common issues affecting countries at various levels of
epidemic control and then developed a compendium of evidence-based solutions, approaches
and case-studies that highlight successful means of addressing common barriers. Additional
evidence-based approaches and case-studies will be incorporated into this living compendium
over time. As highlighted in this PEPFAR Solutions Platform, these practices can be rapidly
adapted and scaled to move countries forward.
Key considerations for all PEPFAR programs include:
• Bringing Interventions to Scale with Fidelity: Getting to HIV epidemic control is dependent on
several factors; not the least of which is the ability to rapidly scale successful interventions with
fidelity and demonstrated impact. However, the logistics of cost- effective programmatic scale
have proven challenging, with several implementation barriers. Implementation science
defines scalability as the capacity to expand or extend an intervention to account for a growth
factor that aims to fill a gap or address unmet need in a defined population group/geographic
area.
• Data and Information Technology: The enabling environment for data and information
technology is rapidly maturing across countries, creating space, opportunity, and needed
political will to harness the Data Revolution for epidemic control. OUs should consider
innovative ways to use data and information technology to improve efficiency and
sustainability in achieving epidemic control, beyond immediate PEPFAR indicator data
collection needs. As highlighted in the Data Revolution Innovation Toolkit, available on the
PEPFAR SharePoint, OUs are encouraged to explore, adapt, and scale these and other data
driven approaches to move country epidemic control forward.
Core practices that are moving from a pilot state to implementation at scale: Many of the
barriers facing HIV programs are common across countries. PEPFAR’s ECTs (described below in
Sections 2.3.2 and 2.3.3) identified common issues affecting countries at various levels of
epidemic control and then developed a compendium of evidence-based solutions, approaches
and case-studies that highlight successful means of addressing common barriers. Additional
evidence-based approaches and case-studies will be incorporated into this living compendium
over time. As highlighted in this PEPFAR Solutions Platform, these practices can be rapidly
adapted and scaled to move countries forward.
Key considerations for all PEPFAR programs include:
• Bringing Interventions to Scale with Fidelity: Getting to HIV epidemic control is dependent on
several factors; not the least of which is the ability to rapidly scale successful interventions with
fidelity and demonstrated impact. However, the logistics of cost- effective programmatic scale
have proven challenging, with several implementation barriers. Implementation science
defines scalability as the capacity to expand or extend an intervention to account for a growth
factor that aims to fill a gap or address unmet need in a defined population group/geographic
area.
• Data and Information Technology: The enabling environment for data and information
technology is rapidly maturing across countries, creating space, opportunity, and needed
political will to harness the Data Revolution for epidemic control. OUs should consider
innovative ways to use data and information technology to improve efficiency and
sustainability in achieving epidemic control, beyond immediate PEPFAR indicator data
collection needs. As highlighted in the Data Revolution Innovation Toolkit, available on the
PEPFAR SharePoint, OUs are encouraged to explore, adapt, and scale these and other data
driven approaches to move country epidemic control forward.
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Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
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NDIS and Community 24/7 Nursing Care is a specific type of support that may be provided under the NDIS for individuals with complex medical needs who require ongoing nursing care in a community setting, such as their home or a supported accommodation facility.
Health Education on prevention of hypertensionRadhika kulvi
Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
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Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
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The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
2016 indicator reference guide priority pop prevention services
1. 38
Prevention Services October 2015
Priority Populations HIV Prevention
Indicator code:
PP_PREV 1
Percentage of individuals from priority populations who completed a standardized HIV
prevention intervention, including the specified minimum components, during the
reporting period
Purpose:
Individual and small-group level prevention interventions have been shown to be effective in reducing HIV transmission
risk behavior, when delivered with fidelity to the intervention design. This indicator shows trends in the reach and depth
of a standardized HIV prevention intervention that includes the specified minimum components. Activities counted
under this indicator focus on promoting safer sexual behaviors and uptake of services.
populations at high risk of acquiring or transmitting HIV
as evidenced by data on HIV prevalence. This indicator should be used to report on achievements in delivering that
package to each of the priority populations.
NGI Mapping: New. Replacing P8.1.D given the significant modification in definition; trend analysis will be
impacted. Data collected for the numerator can be compared to data collected for P8.1.D in
prior years, although trends should be interpreted with care since the new version further
constrains the interventions under which individuals can be counted.
PEPFAR Support
Target/Result Type:
Both Direct Service Delivery (DSD) and Technical Assistance-Service Delivery Improvement (TA-
SDI) targets and results should be reported to HQ
Numerator:
1
Number of individuals from priority populations who completed a standardized HIV
prevention program including the specified minimum components
Denominator: 1 Total number of people in each priority population.
Disaggregation(s):
1
Age/Sex: 10-14 Male, 10-14 Female, 15-19 Male, 15-19 Female, 20-24 Male, 20-24 Female,
25-49 Male, 25-49 Female, 50+ Male, 50+ Female
Data Source: Relevant program monitoring tools. Data collection requires reliable tracking systems that are
designed to count the number of one-on-one interventions or the number of people
participating in small group interventions, as well as age and sex. Tracking systems must be able
to eliminate double-counting of individuals in a reporting period. If possible a unique identifier
can be assigned to program participants or names can be collected to track individual
participation in the prevention interventions/sites.
Data Collection
Frequency:
Data should be collected at every encounter/point of service and aggregated in time for PEPFAR
reporting cycles. Data should be reviewed regularly for the purposes of program management,
to monitor progress towards achieving targets, and to identify and correct any data quality
issues.
Method of Measurement:
Data are generated by counting people who completed a standardized HIV prevention intervention that includes the
minimum specified components during the reporting period. A protocol should be in place to determine the
requirements for completing the intervention.
For calculating the denominator, use the best available size estimate for each priority population. The denominator will
be the size estimate multiplied by the coverage target. See the following example.
Example: Estimating coverage of a priority population
team has chosen four priority populations Sex Workers (for whom activities will be measured under the Key
2. 39
Populations indicator), migrant mine workers in three districts, out-of-school girls aged 15-24 in 25 peri-urban
areas, boys 14 25 targeted for VMMC.
Package of interventions: together with the IP, the team designs a set of interventions for each of these groups
that include the minimum components required in this indicator, tailored to the population.
Size estimation: the team also estimates the size of each of the populations in each of the geographic zones where
the IP will implement. Geographic zones are chosen based upon epidemiological data with care to prevent
duplication of service support with other donors. In our example, size estimations for migrant miners might be
10,000 in District 1; 8,000 in District 2; and 4,000 in District 3 (based upon a recent report from the International
Organization for Migration).
Target setting: the team sets a coverage target for each population, with a goal of saturating that population to
reach impact. Using our example of migrant mine workers, the team might decide to shoot for 80% coverage of
each population, making the target for district 1, 8,000 reached; for district 2, 6,400 reached; and district 3 3,200
reached. The total target for this population would be 17,600.
Reporting: At the APR, the team will report a single number to PEPFAR headquarters, which is the sum of all
members of each priority population reached in the reporting period with the full package. So if the programs
reached 18,000 migrant mine workers, 20,000 out of school girls and 33,000 boys, the number would be 71,000.
This total would be disaggregated and reported by sex by age. In the APR narrative, the team would further
disaggregate the results by priority population, and describe progress made toward coverage goals for each one.
Note that sex workers would not be included in this total even though they are a priority population, as they are
Calculating percentage of priority population reached:
Numerator = number of target population reached (for our miner example, this would be 18,000)
Denominator = Total priority population size (for the miner example, 22,000)
Note that it will be important for the team to also perform this calculation for each district or distinct subset of the
population. In our migrant mine worker example, this means calculating coverage for each district, to learn
whether coverage targets were met for each district and adjust performance plans accordingly.
Explanation of Numerator:
The numerator is the number of individuals from each priority population who completed a standardized HIV prevention
program, including the specified minimum components during the reporting period. For the purposes of the APR, the
team will sum the numbers reached in each of the priority populations and report that total. For the purposes of tracking
coverage more meaningfully at the regional, national or sub-national level, the team will track this indicator separately
for each priority population.
Priority population: PEPFAR-funded programs will identify priority populations for HIV prevention in their COPs and will
report on these populations within this indicator. Please note that priority populations will include "Other Vulnerable
Populations." Groups that might be counted in the category of Other Vulnerable Populations include the following and
should always be selected on the basis of available epidemiological data:"
o Clients of sex workers
o Military and other uniformed services
o Incarcerated persons
o Mobile populations (e.g., migrant workers, truck drivers)
o Non-injecting drug users
Delivery of prevention packages for all priority populations will be tracked with this indicator, with the exception of
3. 40
packages for key populations as defined by UNAIDS and WHO: sex workers, men who have sex with men/transgender,
KP
Standardized HIV Prevention Intervention is defined as an activity or set of activities designed for a specific priority
population to reduce HIV transmission that is implemented the same way each time. These interventions adhere to
written protocols, include goals and activities tailored to the priority population, typically comprise multiple encounters
with the same individuals or small groups, and have a system for tracking and reporting the completion of every element
of the intervention.
Minimum components:
Every intervention for adult populations must include all of these components:
1. Targeted risk assessment and provision of risk reduction information, education and/or counseling to correctly
identify HIV prevention methods, reject misconceptions about HIV transmission, and accurately gauge and
personalize risk for HIV infection.
2. Condom promotion, condom skills training including negotiation skills and facilitated access to condoms
whether through direct provision, linkages to social marketing outlets or other means (or referrals for condom
promotion, provision and related skill development)9
.
3. Informational sessions on HIV testing and counseling with active referrals to or provision of HTC services.
4. Demand creation to increase awareness, uptake and acceptability of relevant clinical services such as voluntary
medical male circumcision (VMMC), prevention of mother-to-child transmission (PMTCT), HIV care and
treatment, TB testing and treatment and reproductive health.
5. Activities which: promote gender equitable principles; address harmful norms related to sex and gender; and
seek to reduce stigma and discrimination associated with HIV; and prevent gender-based violence.
Every intervention for youth populations must include all of these components:
1. Targeted risk assessment and provision of risk reduction information, education and/or counseling to correctly
identify HIV prevention methods, reject misconceptions about HIV transmission and increase perception of risk
for HIV infection.
2. Curriculum-based, age-appropriate, HIV prevention skills and sexuality education to prevent HIV acquisition and
encourage safer sex strategies for sexually active youth.
3. Informational sessions on HIV testing and counseling with active referrals to or provision of youth-friendly HTC
services.
4. Community programs targeting adults to raise awareness of HIV risks for young people, promote positive
parenting and mentoring practices, and effective adult-child communication about sexuality and sexual risk
reduction.
5. Demand creation to increase awareness, uptake and acceptability of youth-friendly clinical services such as
voluntary medical male circumcision (VMMC), HIV care and treatment, and TB testing and treatment.
6. Condom promotion, condom skills training including negotiation skills and facilitated access to condoms
whether through direct provision, linkages to social marketing outlets or other means (or referrals for condom
promotion, provision and related skill development1
for sexually active youth.
7. Activities which: promote gender equitable principles; address harmful norms related to sex and gender; and
seek to reduce stigma and discrimination associated with HIV and to prevent gender-based violence.
Standardization and documentation allows public health professionals to evaluate program outcomes. The best
interventions are often identified through a series of efficacy reviews. National Efficacy Review Criteria should be
developed for HIV prevention programs in each country. Technical assistance should be provided to national and local
prevention programs to document, evaluate, and standardize HIV prevention interventions designed to reach a specific
9 PEPFAR may fund prevention programs that do not provide or refer for condom promotion and provision. These
programs may not be counted under this indicator.
4. 41
target population to ensure efficacious interventions are implemented and reported.
Explanation of Denominator:
The denominator is the estimated number of individuals in the priority population.
Whenever possible, size estimates for the population should be done at the level of implementation to allow for real-
time tracking of coverage. These lower level estimates can be aggregated for national tracking of coverage. See example
earlier in this reference sheet for more detail. The data tracked at the national level should be disaggregated by each
priority population. Success in achieving coverage of each priority population should be described in the narrative
accompanying the reporting of results in the APR.
Interpretation:
When measured over time and disaggregated, this indicator can demonstrate progress towards achieving coverage of
priority populations with a minimum package of validated HIV prevention interventions. In shorter time frames, the
information collected with this indicator can be used to assess progress towards program-specific goals and to make
management decisions to facilitate progress towards those goals.
When calculating the percent of a population who completed a standardized HIV prevention intervention during the
reporting period, the indicator will represent PEPFAR coverage only. National or other donor programs may be
implemented and not represented in this indicator.
This indicator does NOT capture the impact of HIV prevention programs on incidence. Teams are encouraged to conduct
impact evaluations of specific programs using incidence or other contextually appropriate outcome measures to
determine whether programs are reducing transmission of HIV.
PEPFAR Support:
DSD: Individuals will be counted as receiving direct service delivery support from PEPFAR when BOTH of the below
conditions are met: Provision of key staff or commodities AND frequent, at least quarterly, support to improve the
quality of services.
TA-SDI: Individuals will be counted as supported through TA-SDI when the point of service delivery receives support
from PEPFAR that meets the second criterion only: Frequent, at least quarterly support to improve the quality of
services.
1. PEPFAR is directly interacting with the patient or beneficiary in response to their health (physical, psychological,
etc.) care needs by providing key staff and/or essential commodities for routine service delivery. For priority
populations receiving HIV prevention services, this can include ongoing procurement of critical commodities such
as condoms, teaching materials, or community promotion materials, or funding for salaries of personnel who
deliver components of the intervention or paying for transportation of those staff to the point of service delivery.
Staff who are responsible for the completeness and quality of routine patient records (paper or electronic) can
be counted here; however, staff who exclusively fulfill MOH and donor reporting requirements cannot be
counted.
AND/OR
2. PEPFAR provides an established presence at and/or routinized frequent (at least quarterly) support for those
prevention services at the point of service delivery. For HIV prevention among priority populations, this ongoing
support for service delivery improvement can include: site supervision, training or assistance with monitoring
and evaluation, support for quality improvement activities, and development of materials and protocols.
Additional References:
HIV P3, HIV-P4b. The Global Fund to Fight AIDS, Tuberculosis and Malaria Monitoring and Evaluation Toolkit 4th
Edition. November 2011. (http://www.theglobalfund.org/en/me/documents/toolkit/)