Infant ARV prophylaxis coverage

Percentage of HIV-exposed infants who initiated ARV prophylaxis

What it measures

This indicator measures the delivery of prevention services to HIV-exposed infants immediately after birth.

Rationale

ARV prophylaxis for HIV-exposed infants is critical for reducing the risk of mother-to-child transmission in the immediate post-partum period - part of Prong 3 of the PMTCT strategy.
In particular, coverage of HIV-exposed infants who are born in facilities should be very high.
When using the programme-based denominator, the indicator measures coverage among only HIV-exposed infants who are born in facilities, which is a direct measure of a programme's ability to meet standards of care.

Numerator

Number of HIV-exposed infants born within the past 12 months who were started on ARV prophylaxis at birth

Denominator

Population-based denominator

Number of HIV-positive women who delivered within the past 12 months

Programme-based denominator

Number of HIV-positive women who delivered in a facility within the past 12 months

Method of measurement

For the numerator. Programme records (for example, PMTCT registers)

For the population-based denominator: Modelling-based estimates (for example, Spectrum AIM)

Note: The population-based denominator is a proxy measure for the number of infants born to HIV-infected women

For the programme-based denominator: Programme records, labour and delivery registers

The recommended reporting period is 12 months.

Further information

Indicator Registry