(OVC_HIVSTAT) Percentage of orphans and vulnerable children (<18 years old) with HIV status reported to implementing partner.
This indicator will be tracked through routine program monitoring semi- annually through the POART process.
Given the elevated risk of HIV infection among children affected by and vulnerable to HIV, it is imperative for PEPFAR implementing partners to monitor HIV status among OVC beneficiaries, to assess their risk of HIV infection, and to facilitate access and retention in ART treatment for those who are HIV positive. When the implementing partner determines that the child is at risk of HIV infection, the program should refer children for testing and counseling services. When the implementing partner knows the HIV status, the program should ensure that the children are linked to appropriate care and treatment services as an essential element of quality case management. OVC programs should also play an important role in family-centered disclosure, for those who are HIV positive.
Number of orphans and vulnerable children (<18 years old) with HIV status reported, disaggregated by HIV status
Number of orphans and vulnerable children reported under OVC_SERV (<18 years old, total numerator including active and graduated)
How to calculate annual total:
This is a snapshot indicator. Results are cumulative at each reporting period.
Disaggregate descriptions & definitions:
Status Type Disaggregate Definitions:
• “Reported HIV positive to IP” includes beneficiaries <age 18 who report to the IP that they are HIV positive based on an HIV test conducted during or prior to the reporting period (regardless of where the test occurred). All beneficiaries <age 18 who report to the IP that they are HIV positive based on an HIV test conducted during or prior to the reporting period (regardless of where the test occurred) should be reported as “currently receiving ART” or “not currently receiving ART or ART Status Unknown.” This also includes beneficiaries <age 18 who report that they are HIV positive based on an HIV test conducted during previous project reporting periods. OVC entered in either category as “Reported HIV positive– currently receiving ART” or “Reported HIV positive– not currently receiving ART or ART Status Unknown” in the previous reporting period should be followed in the current reporting period and their current ART treatment status noted.
• “Reported HIV negative to IP” includes beneficiaries <age 18 who report that they are HIV negative to the IP based on an HIV test conducted during the reporting period (regardless of where the test occurred). For a child who reports multiple tests within the current period, use most recent test. For beneficiaries entered as “Reported HIV negative to IP” in a previous reporting period—if the IP believes the child’s risk has not changed in the last six months, they should continue to report the child as negative during the current reporting period. However, if the IP believes that the child has recently been exposed to risk of HIV infection (e.g., sexual violence) or if an adolescent has become sexually active, then the IP should conduct the HIV risk assessment. Potential outcomes reported after the HIV risk assessment include 1) the child is tested and reported as HIV positive and either currently receiving ART or not receiving ART or ART status unknown, or 2) the child is tested and reported as HIV negative, 3) the child is reported as “No HIV Status reported to the IP”, or 4) the child is reported as “Test not required based on risk assessment.”
• “Test not required based on risk assessment” includes beneficiaries (OVC_SERV<age 18) who based on a risk assessment made by the implementing partner do not require a test during the reporting period (formerly known as test not indicated). (Consensus Conference Technical Report on the Role of OVC Programs Supported by PEPFAR in Extending Access to HTS includes further information on determining whether a test is required).
Data sources for this indicator include HIV test results that are self-reported by OVC (or their caregivers), results of HIV Risk Assessments conducted by implementing partners, registers, referral forms, client records, or other confidential case management and program monitoring tools that track those in treatment and care.
Denominator is not collected again as part of this indicator, but is collected under the indicator OVC_SERV.
Indicator changes (MER 2.0 v2.2 to v2.3):
• Clarifications have been made to the indicator reference sheet to highlight risk assessment. The disaggregate under “No status reported” formerly called “Test not indicated” will now be “Test not required based on risk assessment” to simplify the language and will no longer be included under the “No status reported to implementing partner” category. HIV positive OVC for whom ART status is not documented will be reported under “Reported HIV Positive -- Not currently receiving ART or ART status unknown” and OVC for whom HIV status is missing will be reported under “HIV Status Unknown.”
PEPFAR Support definition:
Modifications to standard definition of DSD and TA-SDI related to eligible goods and services:
Provision of key staff or eligible goods/services for OVC beneficiaries receiving care and support services in the community include: For beneficiaries of OVC services, this can include funding of salaries (partial or full) for staff of the organization delivering the individual, small group or community level activity (e.g., psychosocial support, child protection services, education, etc.). Partial salary support may include stipends or incentives for volunteers/para-social workers or paying for transportation of those staff to the point of service delivery. For goods or services to be eligible, goods or services (e.g., bursaries, cash transfers, uniforms) can either be paid for out of the implementing partner’s budget or be provided as a result of the IP’s efforts to leverage and mobilize non-project resources. For example, an IP may help beneficiaries fill out and file forms necessary for the receipt of government provided cash transfers, social grants, or bursaries for which they are eligible. Given the focus on long-term local ownership, IP’s are encouraged to mobilize goods and services whenever possible.
For care and support services, ongoing support for OVC service delivery for improvement includes: the development of activity-related curricula, education materials, etc., supportive supervision of volunteers, support for setting quality standards and/or ethical guidelines, and monitoring visits to assess the quality of the activity, including a home visit, a visit to a school to verify a child’s attendance and progress in school or observation of a child’s participation in kids clubs.
Guiding narrative questions: