Table 1.
Definitions of HIV‐TB process indicators
| HIV‐TB services | HIV‐TB process indicator | Data elements used to express process indicators as a proportion | Primary data sourcesc |
|---|---|---|---|
| HTS for PHC clinic attendees | Proportion of patients who accessed HIV tests, as a percentage of the clinics’ HIV testing target | Numerator: Number of patients tested for HIV | HTS Register |
| Denominator: Clinic assigned target for HTSa | |||
| Proportion of new TB patients tested for HIV | Numerator: Number of new TB patients tested for HIV | ETR | |
| Denominator: Number of new TB patients | |||
| Proportion of new TB patients tested HIV positive | Numerator: Number of TB patients tested HIV positive | ||
| Denominator: Number of new TB patients tested for HIV | |||
| TB screening among PHC clinic attendees (TB screening) | Proportion of clinic attendees screened for TB signs or symptoms | Numerator: Number of clinic attendees screened for TB signs and symptoms (adults and children) | TB screening register |
| Denominator: Clinic headcountb | |||
| Confirmed new TB cases | Proportion of Xpert MTB/RIF tests with a ‘TB detected’ outcome | Numerator: Xpert MTB/RIF tests with a ‘TB detected’ outcome | NHLS |
| Denominator: Number of sputum samples collected for Xpert MTB/RIF testing for initial TB diagnosis | |||
| TB confirmed patients initiated onto TB treatment | Proportion of patients with a TB confirmed Xpert MTB/RIF# result initiated onto TB treatment | Numerator: Number of patients initiated onto TB treatment | ETR |
| Denominator: Number of patients with a ‘TB detected’ MTB/RIF result | |||
| IPT initiation among eligible new ART patients (IPT initiation) | Proportion of new ART patients initiated onto IPT | Numerator: Number of new ART patients initiated on IPT | Patient file |
| Denominator: Number of new ART patients with no signs or symptoms of TB | |||
| ART initiation among HIV‐TB co‐infected patients | Proportion of HIV‐TB services co‐infected patients initiated on ART | Numerator: Number of HIV‐TB co‐infected patients initiated on ART | ART register |
| Denominator: Number of confirmed TB patients tested positive for HIV | |||
| VL testing at month 12 after ART initiation (VL testing) | Proportion of eligible ART patients who had a VL test 12 months after initiating ART | Numerator: Number of ART patients who received a VL test at month 12 after ART initiation | TIER.Net |
| Denominator: Number of ART patients eligible for a VL test at month 12 after ART initiation |
Abbreviations: ART, antiretroviral therapy; ETR, Electronic TB Register; HTS, HIV testing services; IPT, isoniazid preventive therapy; NHLS, National Health Laboratory Services; PHC, primary healthcare; TIER, Three Integrated Electronic Registers; TB, tuberculosis; VL, viral load.
Xpert MTB/Rif, a rapid, molecular, cartridge‐based test used for tuberculosis diagnostics that provides an immediate rifampicin resistance result.
All primary healthcare clinics are given an HIV testing services target each year by the respective District Health office. Targets were calculated based on HIV prevalence and patient population within a clinic's catchment area.
Number of people accessing any health services at a facility during a specified period.
Data sources listed were considered the primary source of data but if necessary other data sources were used to verify data.