HIV testing and status awareness among key populations (A-D)

Export Indicator

Percentage of people from key populations who report having tested negative for HIV in the past 12 months, or who know that they are living with HIV
What it measures / Ce qui est mesuré / Qué mide / Что он измеряет

Progress providing HIV testing services to members of key populations.

 

This indicator is divided into four sub-indicators:

A. HIV testing among sex workers.

B. HIV testing among men who have sex with men.

C. HIV testing among people who inject drugs.

D. HIV testing among transgender people.

Rationale / Fondement / Justificación / Обоснование

Ensuring that people living with HIV receive the care and treatment required to live healthy, productive lives and reduce the chance of transmitting HIV, requires that they know their HIV status. In many countries, targeting testing and counselling for locations and populations with the highest HIV burden is the most efficient way to reach people living with HIV and ensure that they know their HIV status. This indicator captures the effectiveness of HIV testing interventions in reaching populations at higher risk of HIV infection.

Numerator / Numérateur / Numerador / Числитель

Respondent knows they are living with HIV (answer to Question 3 is “positive”)

plus
 
Respondent reports having tested for HIV in last 12 months and result was negative (answer to Question 2 is “a” or “b”; answer to Question 3 is “negative”).
 
 

The number of respondents in the yellow boxes is the numerator.

If still using the old indicator—HIV test in last 12 months—please note this in the Comment field.

 

 

Denominator / Dénominateur / Denominador / Знаменатель

Number of people in key populations who answered question Question 1 (below).

Calculation / Calcul / Cálculo / Расчет

Numerator/denominator

Method of measurement / Méthode d’évaluation / Método de medición / Метод измерения
Behavioural surveillance surveys or other special surveys (e.g. BBS-Lite)
 
Respondents are asked the following questions:
 
1. Do you know your HIV status from an HIV test?
 
a. No, I have never been tested
b. Yes, I have been tested
 
2. If yes, when were you last tested?
 
a. In the last 6 months
b. In the last 6–12 months
c. More than 12 months ago
 
3. Was the result of your last test:
 
a. Positive
b. Negative

 

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

Every two years

Disaggregation / Ventilation / Desglose / Разбивка данных

A, C: Gender (female, male and transgender).

D: gender (transman, transwoman, other)

A-D: 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

HIV-positive respondents may be less willing to accurately report their HIV status than HIV-negative respondents, leading to under-reporting of testing coverage among people living with HIV.

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 bio-behavioural 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
Global HIV Strategic Information Working Group. Biobehavioural survey guidelines for populations at risk for HIV. Geneva: World Health Organization; 2017 (https://apps.who.int/iris/bitstream/handle/10665/258924/9789241513012-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 The BBS-lite: A methodology for monitoring programmes providing HIV, viral hepatitis and sexual health services to people from key populations — UNAIDS–WHO 2024 Implementation Tool.
 
Related Indicators
TL.6 Know their status (key population), 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).