Coverage of HIV prevention programmes among key populations (A–D)

Export Indicator

Coverage of HIV prevention programmes: percentage of people in a key population reporting having received a combined set of HIV prevention interventions
What it measures

This indicator is divided into four sub-indicators:

A. Coverage of HIV prevention programmes among sex workers

B. Coverage of HIV prevention programmes among men who have sex with men

C. Coverage of HIV prevention programmes among people who inject drugs

D. Coverage of HIV prevention programmes among transgender people

Each sub-indicator is divided in two parts. Please report both parts. Surveys and programme data are considered complementary.

 

PART I. Behavioral surveillance or other special survey

What it measures

People in key populations who received at least two HIV prevention interventions in the past three months

 

PART II. Programme data

What it measures

People in key populations who are reached with HIV prevention interventions designed for the intended population

Rationale

PART I. Behavioral surveillance or other special survey

Successfully confronting the HIV epidemic requires combining preventive behaviour and antiretroviral therapy. Coverage with evidence-informed prevention programming is a critical component of the response, the importance of which is reflected in the UNAIDS Strategy.

PART II. Programme data

Successfully confronting the HIV epidemic requires combining preventive behaviour and antiretroviral therapy. Coverage with evidence-informed prevention programming is a critical component of the response, the importance of which is reflected in the UNAIDS Strategy.

Numerator

PART I. Behavioral surveillance or other special survey

Number of people in a key population who report receiving two or more of the prevention interventions listed

PART II. Programme data

Number of people in a key population reached with HIV prevention interventions designed for the intended population

Denominator

PART I. Behavioral surveillance or other special survey

Number of people in a key population responding to the survey

PART II. Programme data

Number of people in a key population

Calculation

PART I. Behavioral surveillance or other special survey

Numerator/denominator

PART II. Programme data

Numerator/denominator

Method of measurement

PART I. Behavioral surveillance or other special survey

Percentage of respondents who report receiving at least two of the following HIV prevention services from a non-governmental organization, health-care provider or other sources:

  • In the past three months, have you been given condoms and lubricant (for example, through an outreach service, drop-in centre or sexual health clinic)?
  • In the past three months, have you received counselling on condom use and safe sex (for example, through an outreach service, drop-in centre or sexual health clinic)?
  • Have you been tested for sexually transmitted infections in the past three months (sex workers, transgender people and men who have sex with men)?
  • Have you received new, clean needles or syringes in the past three months (people who inject drugs)?
PART II. Programme data
 
For the numerator: Number of people in a key population reached with individual HIV prevention interventions designed for the intended population and the following:
  • For sex workers, gay men and other men who have sex with men and transgender people: number of condoms and lubricants distributed.
  • For people who inject drugs: number of needles or syringes distributed.

Plus [3.7.1] Number of service provision sites dedicated to key populations per administrative area

For the denominator: Validated populations size estimate

 

Measurement frequency

PART I. Behavioral surveillance or other special survey

Annual

PART II. Programme data

Annual

Disaggregation

PART I. Behavioral surveillance or other special survey

  • Age (<25 and 25+ years)
  • Gender (male, female and transgender)

PART II. Programme data

  • Type of provider (public services, key population-led organization, NGOs, or other entities). Please see page 31 for additional guidance.
  • Name of the organization/s. Please indicate the name and URL/website (if available) of the key population-led organization, NGOs, or other entities that are providing these services
Additional information requested

PART II. Programme data

Service provision sites designed specifically for one or more key populations demonstrate commitment to deliver context-sensitive services to communities that are often stigmatized. Please provide the total number of such sites and the total number of first-level (e.g., state/province/oblast,) or second-level, (e.g., county/district) administrative areas that have at least one service and the total number in the country. For example, Country A reports 10 needle-syringe programmes across five provinces, and it has seven total provinces.

If known, please report if the site is operated by the national programme (government) or the community (civil society or nongovernmental organization).

Please provide the number of peer outreach workers active at the time of reporting for each key population.

Strengths and weaknesses

PART I. Behavioral surveillance or other special survey

Survey data provide the opportunity to measure the uptake of multiple intervention services by individuals. This indicator shortens the reference period because populations must access services regularly and risky behaviour must be regular. Weaknesses associated with survey data relate to any sampling or response bias and the limited geographical coverage of the information.

PART II. Programme data

Programme data provide a national picture to the extent that programmes offer services nationally. While programme data reflect a national commitment to deliver services to specified key population communities, they do not accurately reflect the individuals served and data cannot typically be deduplicated. Furthermore, analysis of two separate programme data sets can only be considered ecologically: that is, we can see the number of people contacted by programmes and we can see the number of condoms provided by programmes, but we cannot know who among the people contacted received condoms.

Further information

PART I. Behavioral surveillance or other special survey

AND

PART II. Programme data

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 (http://apps.who.int/iris/bitstream/handle/10665/177992/9789241508995_eng...).

Operational Guidelines for Monitoring and Evaluation of HIV Programmes for People who Inject Drugs. In: MEASURE Evaluation [Internet]. Chapel Hill (NC): MEASURE Evaluation; c2019 (https://www.measureevaluation.org/resources/tools/hiv-aids/operational-g...).

Related Indicators
 
KP.1 Coverage of HIV prevention (KP), 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).
 
KP_PREV, PEPFAR, MER 2.0 (Version 2.4), September 2019, Monitoring, Evaluation, and Reporting (https://www.state.gov/wp-content/uploads/2019/10/PEPFAR-MER-Indicator-Reference-Guide-Version-2.4-FY20.pdf).