Antiretroviral therapy coverage among people living with HIV in key populations (A–E)

Export Indicator

Percentage of the people living with HIV in a key population receiving antiretroviral therapy in the past 12 months
What it measures / Ce qui est mesuré / Qué mide / Что он измеряет

Progress towards providing antiretroviral therapy to people living with HIV in key populations.

This indicator is divided into five subindicators:

A. Antiretroviral therapy coverage among sex workers living with HIV

B. Antiretroviral therapy coverage among gay men and other men who have sex with men living with HIV

C. Antiretroviral therapy coverage among people who inject drugs living with HIV

D. Antiretroviral therapy coverage among transgender people living with HIV

E. Antiretroviral therapy coverage among people in prisons and other closed settings living with HIV

Rationale / Fondement / Justificación / Обоснование
Antiretroviral therapy has been shown to reduce HIV-related morbidity and mortality among people living with HIV and to reduce the transmission of HIV. People living with HIV in key populations should be able to access mainstream services that provide antiretroviral therapy without fear of facing stigma or discrimination and to be able to receive care from health-care workers who have the clinical knowledge to meet their specific needs. Ideally, all of these mainstream services should meet the standards for becoming sensitized to the needs of key populations. Accordingly, antiretroviral therapy coverage is a crucial way of assessing access to mainstream services.
Numerator / Numérateur / Numerador / Числитель

Number of respondents living with HIV who report receiving antiretroviral therapy in the past 12 months

Denominator / Dénominateur / Denominador / Знаменатель

Number of respondents living with HIV

Calculation / Calcul / Cálculo / Расчет

Numerator/denominator

Method of measurement / Méthode d’évaluation / Método de medición / Метод измерения

Biobehavioural surveillance surveys or other special surveys (e.g. BBS-Lite).

Measurement frequency / Fréquence de mesure / Frecuencia de medición / Частота измерения

Every two years for biobehavioural surveys or other special surveys

Disaggregation / Ventilation / Desglose / Разбивка данных
A, C, and E: Gender (female, male and transgender)
 
D: Gender (transman, transwoman, other)
 
A-E: Age (<25 and 25+ years)
Additional information requested / Informations complémentaires requises / Información adicional solicitada

If there are subnational data available, please provide the disaggregation by administrative area, city, or site in the space provided. Submit the digital version of any available survey reports using the upload tool.

Strengths and weaknesses / Forces et faiblesses / Puntos fuertes y débiles / Преимущества и недостатки

This indicator recognizes the importance of antiretroviral therapy for all populations and the need to achieve equity in access to antiretroviral therapy. It is increasingly asked in both household (general population) and biobehavioural surveys. Some but not all treatment programmes collect data on risk behaviour and modes of transmission. Data on treatment coverage and progress towards the second “95” of the 95–95–95 targets for key populations individually provide information to advocate for equity for treatment access for all key and vulnerable populations and communities.

It remains unclear how many people will respond accurately to this question in a survey. Additional analysis and research are required to assess the validity of the responses and to improve the elicitation of valid responses in the future.

Surveying key populations can be challenging. Consequently, the data obtained may not be based on a representative national sample of the key populations at higher risk being surveyed. If there are concerns that the data are not based on a representative sample, the interpretation of the survey data should reflect these concerns. If there are different sources of data, the best available estimate should be used.

BBS-Lite is less technically demanding and may be undertaken with fewer resources than larger-scale, more comprehensive biobehavioural surveys. It can also be repeated more frequently and yield results more rapidly. The results supplement data from other sources. The BBS-Lite involves non-probability sampling methods, and therefore in many cases the results are most useful for understanding the local situation for programming purposes..

Further information / Informations complémentaires / Información adicional / Дополнительная информация

WHO, CDC, UNAIDS, FHI 360. Biobehavioral survey guidelines for Populations at Risk for HIV. Geneva: World Health Organization; 2017 (https://apps.who.int/iris/bitstream/handle/10665/258924/9789241513012-en...).

Tool to set and monitor targets for HIV prevention, diagnosis, treatment and care for key populations: supplement to the 2014 consolidated guidelines for HIV prevention, diagnosis, treatment and care for key populations. Geneva: World Health Organization; 2015 (https://apps.who.int/iris/bitstream/handle/10665/177992/9789241508995_en...).

Joint United Nations Programme on HIV/AIDS,World Health Organization. The bio-behavioural survey “lite”: a methodology for monitoring programmes providing HIV, viral hepatitis and sexual health services to people from key populations—implementation tool. Geneva: Joint United Nations Programme on HIV/AIDS; 2024 (https://www.unaids.org/sites/default/files/media_asset/BBS-lite-tool_en.pdf).

Related Indicators

AV.1 PLHIV on ART, 2020, WHO Consolidated HIV strategic information guidelines: driving impact through programme monitoring and management (https://www.who.int/publications/i/item/consolidated-hiv-strategic-information-guidelines).