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TB screening coverage among new ART patients

Export Indicator

Percentage of people living with HIV newly initiated on ART who were screened for TB
What it measures

This indicator measures the extent to which people living with HIV newly initiated on ART are screened for active TB disease.

Rationale
  • Routine TB screening among people living with HIV newly initiated on ART and those who are already on ART is essential to identifying presumptive TB cases in need of confirmatory diagnostic testing and to determine eligibility for TPT if active TB disease is ruled out.
  • Screening is most critical at the time of ART initiation, when immune compromise is greatest. It is most commonly done as a part of pre-treatment clinical assessment.
  • It is important to understand the cascade from ART enrolment to treatment of active TB disease (see Fig. 3.2); this indicator will highlight any obstacles between ART enrolment and screening for TB symptoms.
  • This is the first of five "screening cascade" indicators considered priority for high burden TB/HIV settings.
Numerator

Number of people living with HIV newly initiated on ART who were screened for TB during the reporting period

Denominator

Number of people living with HIV who newly initiated ART during the reporting period

Method of measurement

For the numerator and denominator. Programme records (for example, ART registers, EMRs)

Disaggregation
  • Gender (male, female, transgender)
  • Age (<15, 15+)
Further information