Table 1.
Tracer indicators of the Integrated HIV/TB/STI Evaluation Tool and 2006 audit results
| Domain | Tracer indicator | Result (%) | |
|---|---|---|---|
| Access | General | Facilities that routinely defer clients | 50 |
| Facilities that routinely defer that have an appointment system | 38 | ||
| HIV | Facilities HIV care offered daily | 94 | |
| TB | Facilities with triage to prioritise chronic cough | 63 | |
| STI | Facilities syndromic management of STIs offered daily | 100 | |
| Facilities with triage to prioritise STI's | 44 | ||
| Availability and Capacity | VCT | Lay counsellors trained in VCT counselling | 98 |
| Clinical staff trained in VCT counselling | 30 | ||
| Rooms equipped for quality counselling (private and stocked with dildos, condoms, IEC material) | 45 | ||
| HIV | Clinical staff trained in HIV/AIDS | 40 | |
| STI | Clinical staff trained in Syndromic Mx | 42 | |
| Consulting rooms used to treat STI | 42 | ||
| STI rooms fully equipped | 12 | ||
| TB | Facilities with mechanism for recall of sputum positive clients | 88 | |
| Facilities with a dedicated TB nurse | 100 | ||
| Quality | VCT | Clients: Counselling forms used | 90 |
| Clients: Consent for HIV test taken | 91 | ||
| Clients: Safer sex was discussed | 80 | ||
| Clients: Condoms were distributed | 52 | ||
| Clients: Disclosure was discussed | 70 | ||
| HIV | Clients: CD4 count done | 81 | |
| Clients: WHO staged | 57 | ||
| Clients who are stage 4 OR CD4 < 200 who are referred for ARV treatment | 68 | ||
| STI | Clients: Specific STI diagnosis made | 81 | |
| Clients: Correct drug regime used | 81 | ||
| Clients: Clients offered condoms | 71 | ||
| Clients: Clients given contact slips | 71 | ||
| Clients: RPR done | 84 | ||
| TB | Clients: Contact details complete | 78 | |
| Clients: Patient category is correct | 96 | ||
| Clients: Sputum results adequately entered | 81 | ||
| Clients: Patient is placed on the correct regimen | 95 | ||
| Clients: Child contacts < 5yr assessed | 35 | ||
| Continuity | VCT | Positive clients attended for on-going counselling | 24 |
| Positive clients attended for medical assessment | 66 | ||
| HIV | Future management plan noted at last visit | 61 | |
| TB | New Smear Positive Interrupter rates | 21 | |
| STI | RPR results recorded in folder and acted on | 84 | |
| Integration | VCT | Clients: Contraception discussed | 34 |
| Clients: Screened for TB | 70 | ||
| Clients: Screened for STI | 68 | ||
| HIV | Clients: Contraception discussed | 49 | |
| Clients: Screened for TB at every visit | 51 | ||
| Clients: Screened for STI every visit | 79 | ||
| Female clients: PAP done | 39 | ||
| STI | Clients: Contraception discussed | 55 | |
| Clients: offered VCT | 71 | ||
| TB | Women: Contraception assessed | 52 | |
| Clients: VCT offered | 94 | ||
| HIV + Clients prescribed bactrim | 77 | ||
| HIV + Clients: CD4 count done | 65 | ||