Late ART initiation
Export Indicator
This indicator measures the proportion of people living with HIV who have AIDS at the time that they initiate ART.
Additional recommendation for settings with robust electronic HIS, for example, EMRs: Monitoring mean and median CD4 counts among those who initiate ART and have a baseline CD4 count
- Late initiation of ART is a risk factor for treatment failure.
- In the era of "Treat All", late initiation on ART most likely reflects late diagnosis.
Number of people living with HIV initiating ART during the reporting period with a baseline CD4 count of <200 cell/mm3
Number of people living with HIV initiating ART during the reporting period who have a baseline CD4 count
For the numerator and denominator. Programme records (for example, ARV register, laboratory records)
The recommended reporting period is 12 months.
- Gender (male, female, transgender)
- Age (0-4, 5-9, 10-14, 15-19, 20-24, 25-49, 50+)
- Key populations (men who have sex with men, people living in prisons and other closed settings, people who inject drugs, sex workers, transgender people)
- Other priority populations
Additional recommendation for settings with robust electronic HIS, for example, EMRs:
- Monitoring mean and median CD4 counts among those who initiate ART and have a baseline CD4 count.
WHO Strategic Information Guidelines, 2020 (https://indicatorregistry.unaids.org/sites/default/files/9789240000735-eng.pdf)