TB symptom-screened positive among new ART patients
Export Indicator
Percentage of people living with HIV newly initiated on ART who were screened for TB symptoms and who screened positive
What it measures
This indicator measures the percentage of people living with HIV newly initiated on ART and screened for symptoms of active TB disease who screened positive.
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 positivity rates vary based on background TB prevalence and other epidemiological and environmental factors. However, low screening positivity rates can signal inadequate or poor quality TB screening, particularly in high burden settings.
- It is important to understand the cascade from ART enrolment to treatment of active TB disease (see Fig. 3.2); this indicator will highlight obstacles between ART enrolment and screening for TB symptoms.
- This is the second 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 screened positive for TB symptoms
Denominator
Number of people living with HIV newly initiated on ART during the reporting period who were screened for TB symptoms
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
WHO Strategic Information Guidelines, 2020 (https://indicatorregistry.unaids.org/sites/default/files/9789240000735-eng.pdf)