CHAPTER 6: HIV/AIDS INDICATORS’ REFERENCE PAGES

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Impact

Behaviour Change Communication (BCC)

Condom Promotion and Distribution

Blood safety

Management of Sexually Transmitted Infections (STIs)

In this document “responsible body” refers to an entity/entities that is/are accountable for developing data collection methodologies, designing tools and/or collection, processing and analysis of data for the specified indicator.

Impact

Imp1: HIV prevalence

Definition

Percentage of pregnant women aged 15-49 years attending ANC clinics who are HIV-infected (disaggregated by age, region and urban/rural)

Purpose

To assess progress towards eradicating HIV infection

Measurement tool

HIV Sentinel Surveillance

Frequency

Every 2 years

Responsible body

MoH/HAPCO

Method of measurement

This indicator is calculated using data from pregnant women attending ANCs in HIV Sentinel Surveillance sites.

Numerator: Number of ANC attendees (aged 15-49) tested
whose HIV test results are positive

Denominator: Number of ANC attendees (aged 15-49) tested for
their HIV infection status

Remark
UNGASS indicator adapted to National need

Behaviour Change Communication (BCC)

Prv1: People’s knowledge about HIV

Definition

Percentage of people aged 15-49 years who both correctly identify ways of preventing the sexual transmission of HIV and who reject major misconceptions about HIV transmission (disaggregated by age, sex, target population, region and urban/rural)

Purpose

To assess progress in achieving people's knowledge of the essential facts about HIV transmission

Measurement tool

Population-based survey (DHS)

Target population survey (BSS)

Frequency

Every 3 - 5 years (BSS every 3 years, DHS every 5 years)

Responsible body

MoH/HAPCO

Method of measurement

The indicator is constructed from responses to the following set of prompted questions

1. Can the risk of HIV transmission be reduced by having sex with only one faithful, uninfected partner?

2. Can the risk of HIV transmission be reduced by using condoms?

3. Can a healthy-looking person have HIV?

4. Can a person get HIV from mosquito bites?

5. Can a person get HIV by sharing a meal with someone who is infected?

Numerator: Number of respondents (15-49) who gave the correct
answers to all five questions

Denominator: Number of respondents (15-49) who gave answers
(including "don't know") to all five questions

Note:

Those who have never heard of HIV/AIDS should be excluded from the numerator but included in the denominator

Indicator score disaggregated by five-year age group and also reported for the 15-24 age group

Remark

MDG and UNGASS indicator adapted to National need

Prv2: Median age at first sex

Definition

The age by which one half of young men or young women aged 15-24 have had penetrative sex (median age), of all young people surveyed

Purpose

To assess progress in achieving dalliance of sexual initiation among young people

Measurement tool

Population-based survey (DHS)

Target population survey (BSS)

Frequency

Every 3 - 5 years (BSS every 3 years, DHS every 5 years)

Responsible body

MoH/HAPCO

Method of measurement

The indicator is constructed from data on current virginity status among young people, not from retrospective questions about age at first sex. In a population-based survey, young people are asked whether they ever had penetrative sex.

A curve is plotted according to the percent who say they have had sex by each single year of age. The age at which the curve exceeds 50 percent is taken to be the median age at first sex.

Note:

On average, people reporting they are in certain age will be six months older than that age. For example, those who say they are 15 will range from those who turned 15 on the day of the survey to those who will turn 16 the following day. Assuming an even age distribution, they will be on average 15.5. Half a year should therefore be added to the exact ages used in the calculation of the median age at first sex.

Indicator score disaggregated by age, sex, region and urban/rural

Remark

UNAIDS indicator

Prv3: Life-skill-based HIV/AIDS education

Definition

Number of teachers trained in life-skills-based HIV/AIDS education and graduated in the last 12 months

Purpose

To assess progress in implementing life-skills-based HIV/AIDS education in teachers’ training schools

Measurement tool

Program report

Frequency

Annual

Responsible body

Teachers’ training schools /MoE/HAPCO

Method of measurement

All teachers’ training schools (universities, colleges, institutions) will annually report on the total number of teachers trained in life-skill based education of HIV/AIDS and graduated in the last 12 months.

Remark

UNGASS indicator adapted to National need

Prv4: People’s condom use with non-regular sexual partners

Definition

Percentage of people aged 15-49 years reporting the use of a condom during last sexual intercourse with a non-regular sexual partner (disaggregated by age, sex, target population, region and urban/rural)

Purpose

To assess progress in preventing exposure to HIV through unprotected sex with non-regular partners

Measurement tool

Population-based survey (DHS)

Target population survey (BSS)

Frequency

Every 3-5 years (BSS every 3 years, DHS every 5 years)

Responsible body

MoH/HAPCO

Method of measurement

Survey respondents aged 15-49 years are asked whether they have commenced sexual activity. Those who report sexual activity (whether currently married or unmarried) are then asked the following questions:

1. In the last 12 months, have you had sexual intercourse with a non-regular partner who was neither your spouse nor someone you were living with?

2. If the answer to question 1 is “yes”: How many non-regular partners have you had sex with in the last 12 months?

3. If the answer to question 1 is “yes”: Did you (or your partner) use a condom the last time you had sex with your most recent non-regular partner?

Numerator: Number of respondents (15-49) who reported
having had a non-regular (i.e., non-marital and
non-cohabitating) sexual partner in the last
12 months who also reported that a condom was
used the last time they had sex with this partner

Denominator: Number of respondents (15-49) who reported
having had a non-regular sexual partner in the last
12 months

Remark

UNGASS indicator adapted to National need

Prv5: Attitudes towards PLWHA

Definition

Percentage of people aged 15-49 years expressing accepting attitudes towards people with HIV/AIDS (disaggregated by age, sex, target population, region and urban/rural)

Purpose

To assess the level of stigma and discrimination towards PLWHA

Measurement tool

Population-based survey (DHS)

Target population survey (BSS)

Frequency

Every 3-5 years (BSS every 3 years, DHS every 5 years)

Responsible body

MoH/HAPCO

Method of measurement

Respondents in a general and targeted population survey are asked the following questions about people with HIV/AIDS:

1. If a member of your family became sick with the AIDS virus, would you be willing to care for him or her in your household?

2. If you knew that a shopkeeper or food seller had the AIDS virus, would you buy fresh vegetables from them?

3. If a male/female teacher has the HIV virus but not sick, should s/he be allowed to continue teaching in school?

4. If a member of your family became infected with the HIV virus, would you want it to remain a secret?

5. Should HIV/AIDS patients be quarantined?

Numerator: Number of respondents who reported accepting
or supportive attitudes on all five of the above
questions

Denominator: Number of all respondents

Remark

UNAIDS indicator adapted to National need

Condom Promotion and Distribution

Prv6: Condoms quality

Definition

Percent of condoms imported that meet the national quality standard

Purpose

To assess the effectiveness of condoms imported in preventing HIV transmission

Measurement tool

Sample survey for quality of condoms imported or DACA report

Frequency

Every 2 years

Responsible body

DACA/HAPCO

Method of measurement

A list of condom importers will be identified. From each importer, a random sample of condoms will be selected and checked for quality.

Numerator: Number of condoms that meet national quality
specification

Denominator: Number of condoms sampled

Remark

UNAIDS indicator adapted to National need

Prv7: Condoms available for distribution nationwide

Definition

Total number of condoms available for distribution nationwide during the preceding 12 months, divided by the total population aged 15-49 (disaggregated by male/female condoms)

Purpose

To assess if there are enough condoms available in the country to satisfy the potential demand

Measurement tool

Program report

Frequency

Annual

Responsible body

DACA/HAPCO

Method of measurement

The indicator is measured by estimating the number of condoms (male and female) available for in-country use during the last 12 months.

Numerator: Number of condoms in stock nationally at the
start of the 12-month period

+

Number of condoms imported during the
12-month period

Denominator: National population size aged 15-49

Remark

UNAIDS indicator adapted to National need

Prv8: Condoms availability at retail outlets and service delivery points

Definition

The proportion of randomly selected retail outlets and service delivery points that have condoms in stock at the time a survey (disaggregated by region and urban/rural)

Purpose

To assess the actual distribution of condoms so that they are more widely available to people likely to need them

Measurement tool

Survey of retail outlets and services delivery points

Frequency

Every 2 years

Responsible body

DACA/DKT Ethiopia/HAPCO and others

Method of measurement

A number of sites of different types are randomly selected for a retail survey. The sampling frame should be stratified to reflect sites in both urban and rural areas. Sites will be selected from a standard checklist of venues where condoms should be accessible, including bars and night clubs, different classes of retail shops (for example, pharmacies, supermarkets, convenience stores, market stalls, petrol stations), STI clinics and other service provision points. Outlets that provide services to people who may find it difficult to access condoms at conventional sites – for example, teenagers – should be included.

Numerator: Number of sites with condoms currently in stock

Denominator: Total number of sites surveyed

Note:

Condoms in stock should be checked for expiry date

Remark

UNAIDS indicator adapted to National need

Blood safety

Prv9: Percentage of voluntary, non-remunerated blood donors

Definition

Percentage of voluntary, non-remunerated blood donors donating blood in the last 12 months (disaggregated by age, sex and urban/rural)

Purpose

To assess the increase in the proportion of voluntary non-remunerated blood donors and to use it as a proxy indicator of the extent to which donated bloods are safe

Measurement tool

Program report

Frequency

Annual

Responsible body

ERCS/HAPCO

Method of measurement

The ERCS should keep a record of each blood donor including sex, age, and type.

Numerator: Number of voluntary, non-remunerated blood
donors donating blood in the last 12 months

Denominator: Total number blood donors

Remark

Prv10: Blood units collected

Definition

Number of blood units collected in the last 12 months (disaggregated by region and urban/rural)

Purpose

To assess availability of safe blood in the country

Measurement tool

Program report

Frequency

Annual

Responsible body

ERCS/HAPCO

Method of measurement

The ERCS will keep a record of blood units collected in its blood banks and summarize at the end of each year.

Remark

Prv11: Number of blood banks

Definition

Total number of blood banks in the country (disaggregated by region and urban/rural)

Purpose

To assess availability of safe blood in the country

Measurement tool

Program report

Frequency

Annual

Responsible body

ERCS/HAPCO

Method of measurement

ERCS will annually report on the total number of blood banks in the country that were functioning in the last 12 months

Remark

Management of Sexually Transmitted Infections (STIs)

Prv12: Knowledge about STI symptoms

Definition

Percentage of people aged 15-49 years who know two or more symptoms of STIs (disaggregated by age, sex, target population, region and urban/rural)

Purpose

To assess knowledge of people about STIs

Measurement tool

Population-based survey (DHS)

Target population survey (BSS)

Frequency

Every 3-5 years (BSS every 3 years, DHS every 5 years)

Responsible body

MoH/HAPCO

Method of measurement

Survey respondents aged 15-49 are asked the following two questions:

1. Do you know any symptom of STIs

2. If the answer to question ‘1’ is Yes: What are the symptoms?

Numerator: Number of respondents aged 15-49 who
correctly identified two or more symptoms of
STIs

Denominator: Total number respondents aged 15-49

Note:

Knowledge about STI symptoms refer symptoms in males, females or both

Remark

Prv13: STI comprehensive case management

Definition

Percentage of patients with STIs at health-care facilities who are appropriately diagnosed, treated and counseled (disaggregated by age, sex, region and urban/rural)

Purpose

To assess progress in implementing universally effective STI diagnosis, treatment and counseling

Measurement tool

Health facility survey

Frequency

Every 3 years

Responsible body

MoH/HAPCO

Method of measurement

Data are collected through observation of provider-client interaction of a sample of health-care facilities offering STI services.

“Appropriate” diagnosis and treatment and counseling procedures are those specified in the National STI service guidelines.

A ‘health-care facility’ is defined as any setting (i.e., including public, private, and church sectors) where one or more medically qualified personnel provide health-care services.

Numerator: Number of STI patients for whom the correct
procedures were followed on (a) history-taking;
(b) examination; (c) diagnosis and treatment; and
(d) effective counseling on partner notification,
condom use and HIV testing

Denominator: Number of STI patients for whom provider-client
interactions were observed

Note:

Indicator scores should be disaggregated by men and women for patients under 20 and over 20 years of age

Score for each component of the indicator (i.e., history-taking, examination, diagnosis and treatment, and counseling) must be reported, in addition to the overall indicator score.

Remark

UNGASS indicator

Prv14: STI drug supply

Definition

Percent of health facilities providing STI care that have a current supply of essential STI drugs and report no stock out lasting longer than one week in the preceding 12 months (disaggregated by region)

Purpose

To assess whether health facilities are consistently supplied with STI drugs

Measurement tool

Health facility survey

Frequency

Every 3 years

Responsible body

MoH/HAPCO

Method of measurement

Health facilities providing STI services are randomly selected. The sampling frame for the selection of sites may include a mix of all major provider categories in both the public and private sectors (clinics, health centers and hospitals). From these sectors the following information are required:

a. List of essential drugs for STI management

b. Past 12 months stock records of health facilities

Service providers’ management body is questioned about stock outs in the last 12 months.

Numerator: Total number of health facilities providing STI
services that have adequate drugs currently in
stock to treat each of the important STI
syndromes and that report no stock outs of these
drugs lasting more than one week in the last
12 months

Denominator: Total number of health facilities surveyed

Remark

UNAIDS indicator adapted to National need

Prv15: Training on syndromic management of STIs

Definition

Number of health workers trained in syndromic management of STIs according to national guideline in the last 12 months (disaggregated by region)

Purpose

To assess availability of health workers trained on syndromic management of STIs

Measurement tool

Program report

Frequency

Annual

Responsible body

MoH/HAPCO

Method of measurement

All health facilities will regularly report on the number of health workers trained in syndromic management of STIs to the higher levels (Woreda, Zone, Region or Federal level).

Remark


Imp1: HIV prevalence
Definition	Percentage of pregnant women aged 15-49 years attending ANC clinics who are HIV-infected (disaggregated by age, region and urban/rural)
Purpose	To assess progress towards eradicating HIV infection
Measurement tool	HIV Sentinel Surveillance
Frequency	Every 2 years
Responsible body	MoH/HAPCO
Method of measurement	This indicator is calculated using data from pregnant women attending ANCs in HIV Sentinel Surveillance sites. Numerator: Number of ANC attendees (aged 15-49) tested whose HIV test results are positive Denominator: Number of ANC attendees (aged 15-49) tested for their HIV infection status
Remark	UNGASS indicator adapted to National need


Prv1: People’s knowledge about HIV
Definition	Percentage of people aged 15-49 years who both correctly identify ways of preventing the sexual transmission of HIV and who reject major misconceptions about HIV transmission (disaggregated by age, sex, target population, region and urban/rural)
Purpose	To assess progress in achieving people's knowledge of the essential facts about HIV transmission
Measurement tool	Population-based survey (DHS) Target population survey (BSS)
Frequency	Every 3 - 5 years (BSS every 3 years, DHS every 5 years)
Responsible body	MoH/HAPCO
Method of measurement	The indicator is constructed from responses to the following set of prompted questions 1. Can the risk of HIV transmission be reduced by having sex with only one faithful, uninfected partner? 2. Can the risk of HIV transmission be reduced by using condoms? 3. Can a healthy-looking person have HIV? 4. Can a person get HIV from mosquito bites? 5. Can a person get HIV by sharing a meal with someone who is infected? Numerator: Number of respondents (15-49) who gave the correct answers to all five questions Denominator: Number of respondents (15-49) who gave answers (including "don't know") to all five questions Note: Those who have never heard of HIV/AIDS should be excluded from the numerator but included in the denominator Indicator score disaggregated by five-year age group and also reported for the 15-24 age group
Remark	MDG and UNGASS indicator adapted to National need


Prv2: Median age at first sex
Definition	The age by which one half of young men or young women aged 15-24 have had penetrative sex (median age), of all young people surveyed
Purpose	To assess progress in achieving dalliance of sexual initiation among young people
Measurement tool	Population-based survey (DHS) Target population survey (BSS)
Frequency	Every 3 - 5 years (BSS every 3 years, DHS every 5 years)
Responsible body	MoH/HAPCO
Method of measurement	The indicator is constructed from data on current virginity status among young people, not from retrospective questions about age at first sex. In a population-based survey, young people are asked whether they ever had penetrative sex. A curve is plotted according to the percent who say they have had sex by each single year of age. The age at which the curve exceeds 50 percent is taken to be the median age at first sex. Note: On average, people reporting they are in certain age will be six months older than that age. For example, those who say they are 15 will range from those who turned 15 on the day of the survey to those who will turn 16 the following day. Assuming an even age distribution, they will be on average 15.5. Half a year should therefore be added to the exact ages used in the calculation of the median age at first sex. Indicator score disaggregated by age, sex, region and urban/rural
Remark	UNAIDS indicator


Prv3: Life-skill-based HIV/AIDS education
Definition	Number of teachers trained in life-skills-based HIV/AIDS education and graduated in the last 12 months
Purpose	To assess progress in implementing life-skills-based HIV/AIDS education in teachers’ training schools
Measurement tool	Program report
Frequency	Annual
Responsible body	Teachers’ training schools /MoE/HAPCO
Method of measurement	All teachers’ training schools (universities, colleges, institutions) will annually report on the total number of teachers trained in life-skill based education of HIV/AIDS and graduated in the last 12 months.
Remark	UNGASS indicator adapted to National need


Prv4: People’s condom use with non-regular sexual partners
Definition	Percentage of people aged 15-49 years reporting the use of a condom during last sexual intercourse with a non-regular sexual partner (disaggregated by age, sex, target population, region and urban/rural)
Purpose	To assess progress in preventing exposure to HIV through unprotected sex with non-regular partners
Measurement tool	Population-based survey (DHS) Target population survey (BSS)
Frequency	Every 3-5 years (BSS every 3 years, DHS every 5 years)
Responsible body	MoH/HAPCO
Method of measurement	Survey respondents aged 15-49 years are asked whether they have commenced sexual activity. Those who report sexual activity (whether currently married or unmarried) are then asked the following questions: 1. In the last 12 months, have you had sexual intercourse with a non-regular partner who was neither your spouse nor someone you were living with? 2. If the answer to question 1 is “yes”: How many non-regular partners have you had sex with in the last 12 months? 3. If the answer to question 1 is “yes”: Did you (or your partner) use a condom the last time you had sex with your most recent non-regular partner? Numerator: Number of respondents (15-49) who reported having had a non-regular (i.e., non-marital and non-cohabitating) sexual partner in the last 12 months who also reported that a condom was used the last time they had sex with this partner Denominator: Number of respondents (15-49) who reported having had a non-regular sexual partner in the last 12 months
Remark	UNGASS indicator adapted to National need


Prv5: Attitudes towards PLWHA
Definition	Percentage of people aged 15-49 years expressing accepting attitudes towards people with HIV/AIDS (disaggregated by age, sex, target population, region and urban/rural)
Purpose	To assess the level of stigma and discrimination towards PLWHA
Measurement tool	Population-based survey (DHS) Target population survey (BSS)
Frequency	Every 3-5 years (BSS every 3 years, DHS every 5 years)
Responsible body	MoH/HAPCO
Method of measurement	Respondents in a general and targeted population survey are asked the following questions about people with HIV/AIDS: 1. If a member of your family became sick with the AIDS virus, would you be willing to care for him or her in your household? 2. If you knew that a shopkeeper or food seller had the AIDS virus, would you buy fresh vegetables from them? 3. If a male/female teacher has the HIV virus but not sick, should s/he be allowed to continue teaching in school? 4. If a member of your family became infected with the HIV virus, would you want it to remain a secret? 5. Should HIV/AIDS patients be quarantined? Numerator: Number of respondents who reported accepting or supportive attitudes on all five of the above questions Denominator: Number of all respondents
Remark	UNAIDS indicator adapted to National need


Prv6: Condoms quality
Definition	Percent of condoms imported that meet the national quality standard
Purpose	To assess the effectiveness of condoms imported in preventing HIV transmission
Measurement tool	Sample survey for quality of condoms imported or DACA report
Frequency	Every 2 years
Responsible body	DACA/HAPCO
Method of measurement	A list of condom importers will be identified. From each importer, a random sample of condoms will be selected and checked for quality. Numerator: Number of condoms that meet national quality specification Denominator: Number of condoms sampled
Remark	UNAIDS indicator adapted to National need


Prv7: Condoms available for distribution nationwide
Definition	Total number of condoms available for distribution nationwide during the preceding 12 months, divided by the total population aged 15-49 (disaggregated by male/female condoms)
Purpose	To assess if there are enough condoms available in the country to satisfy the potential demand
Measurement tool	Program report
Frequency	Annual
Responsible body	DACA/HAPCO
Method of measurement	The indicator is measured by estimating the number of condoms (male and female) available for in-country use during the last 12 months. Numerator: Number of condoms in stock nationally at the start of the 12-month period + Number of condoms imported during the 12-month period Denominator: National population size aged 15-49
Remark	UNAIDS indicator adapted to National need


Prv8: Condoms availability at retail outlets and service delivery points
Definition	The proportion of randomly selected retail outlets and service delivery points that have condoms in stock at the time a survey (disaggregated by region and urban/rural)
Purpose	To assess the actual distribution of condoms so that they are more widely available to people likely to need them
Measurement tool	Survey of retail outlets and services delivery points
Frequency	Every 2 years
Responsible body	DACA/DKT Ethiopia/HAPCO and others
Method of measurement	A number of sites of different types are randomly selected for a retail survey. The sampling frame should be stratified to reflect sites in both urban and rural areas. Sites will be selected from a standard checklist of venues where condoms should be accessible, including bars and night clubs, different classes of retail shops (for example, pharmacies, supermarkets, convenience stores, market stalls, petrol stations), STI clinics and other service provision points. Outlets that provide services to people who may find it difficult to access condoms at conventional sites – for example, teenagers – should be included. Numerator: Number of sites with condoms currently in stock Denominator: Total number of sites surveyed Note: Condoms in stock should be checked for expiry date
Remark	UNAIDS indicator adapted to National need


Prv9: Percentage of voluntary, non-remunerated blood donors
Definition	Percentage of voluntary, non-remunerated blood donors donating blood in the last 12 months (disaggregated by age, sex and urban/rural)
Purpose	To assess the increase in the proportion of voluntary non-remunerated blood donors and to use it as a proxy indicator of the extent to which donated bloods are safe
Measurement tool	Program report
Frequency	Annual
Responsible body	ERCS/HAPCO
Method of measurement	The ERCS should keep a record of each blood donor including sex, age, and type. Numerator: Number of voluntary, non-remunerated blood donors donating blood in the last 12 months Denominator: Total number blood donors
Remark


Prv10: Blood units collected
Definition	Number of blood units collected in the last 12 months (disaggregated by region and urban/rural)
Purpose	To assess availability of safe blood in the country
Measurement tool	Program report
Frequency	Annual
Responsible body	ERCS/HAPCO
Method of measurement	The ERCS will keep a record of blood units collected in its blood banks and summarize at the end of each year.
Remark


Prv11: Number of blood banks
Definition	Total number of blood banks in the country (disaggregated by region and urban/rural)
Purpose	To assess availability of safe blood in the country
Measurement tool	Program report
Frequency	Annual
Responsible body	ERCS/HAPCO
Method of measurement	ERCS will annually report on the total number of blood banks in the country that were functioning in the last 12 months
Remark


Prv12: Knowledge about STI symptoms
Definition	Percentage of people aged 15-49 years who know two or more symptoms of STIs (disaggregated by age, sex, target population, region and urban/rural)
Purpose	To assess knowledge of people about STIs
Measurement tool	Population-based survey (DHS) Target population survey (BSS)
Frequency	Every 3-5 years (BSS every 3 years, DHS every 5 years)
Responsible body	MoH/HAPCO
Method of measurement	Survey respondents aged 15-49 are asked the following two questions: 1. Do you know any symptom of STIs 2. If the answer to question ‘1’ is Yes: What are the symptoms? Numerator: Number of respondents aged 15-49 who correctly identified two or more symptoms of STIs Denominator: Total number respondents aged 15-49 Note: Knowledge about STI symptoms refer symptoms in males, females or both
Remark


Prv13: STI comprehensive case management
Definition	Percentage of patients with STIs at health-care facilities who are appropriately diagnosed, treated and counseled (disaggregated by age, sex, region and urban/rural)
Purpose	To assess progress in implementing universally effective STI diagnosis, treatment and counseling
Measurement tool	Health facility survey
Frequency	Every 3 years
Responsible body	MoH/HAPCO
Method of measurement	Data are collected through observation of provider-client interaction of a sample of health-care facilities offering STI services. “Appropriate” diagnosis and treatment and counseling procedures are those specified in the National STI service guidelines. A ‘health-care facility’ is defined as any setting (i.e., including public, private, and church sectors) where one or more medically qualified personnel provide health-care services. Numerator: Number of STI patients for whom the correct procedures were followed on (a) history-taking; (b) examination; (c) diagnosis and treatment; and (d) effective counseling on partner notification, condom use and HIV testing Denominator: Number of STI patients for whom provider-client interactions were observed Note: Indicator scores should be disaggregated by men and women for patients under 20 and over 20 years of age Score for each component of the indicator (i.e., history-taking, examination, diagnosis and treatment, and counseling) must be reported, in addition to the overall indicator score.
Remark	UNGASS indicator


Prv14: STI drug supply
Definition	Percent of health facilities providing STI care that have a current supply of essential STI drugs and report no stock out lasting longer than one week in the preceding 12 months (disaggregated by region)
Purpose	To assess whether health facilities are consistently supplied with STI drugs
Measurement tool	Health facility survey
Frequency	Every 3 years
Responsible body	MoH/HAPCO
Method of measurement	Health facilities providing STI services are randomly selected. The sampling frame for the selection of sites may include a mix of all major provider categories in both the public and private sectors (clinics, health centers and hospitals). From these sectors the following information are required: a. List of essential drugs for STI management b. Past 12 months stock records of health facilities Service providers’ management body is questioned about stock outs in the last 12 months. Numerator: Total number of health facilities providing STI services that have adequate drugs currently in stock to treat each of the important STI syndromes and that report no stock outs of these drugs lasting more than one week in the last 12 months Denominator: Total number of health facilities surveyed
Remark	UNAIDS indicator adapted to National need


Prv15: Training on syndromic management of STIs
Definition	Number of health workers trained in syndromic management of STIs according to national guideline in the last 12 months (disaggregated by region)
Purpose	To assess availability of health workers trained on syndromic management of STIs
Measurement tool	Program report
Frequency	Annual
Responsible body	MoH/HAPCO
Method of measurement	All health facilities will regularly report on the number of health workers trained in syndromic management of STIs to the higher levels (Woreda, Zone, Region or Federal level).
Remark