Viral suppression at labour and delivery
This indicator measures VL suppression at the time of delivery among HIV-positive pregnant women.
- Viral suppression at the time of delivery is a service quality measure at a critical point in the VT risk period.
- Two different denominators give indicators similar to general measures of VL suppression among people living with HIV: The programme-based denominator, that is, those on ART, delivering in a facility and having a VL test, measures the third "95". The population-based denominator, that is, those delivering in a facility regardless of ART status, measures population VL (of women living with HIV).
Number of HIV-positive pregnant women on ART during pregnancy and delivery at a facility during the reporing period and who were virally suppressed (VL <1000 copies/ml) at delivery
Number of HIV-positive pregnant women on ART during pregnancy who deliver at a facility during the reporting period and had a VL test during delivery
For the numerator. Programme records (for example, PMTCT registers)
For the denominator.
Population-based denominator: Modelling-based estimates (for example, Spectrum AIM)
Programme-based denominator: Programme records, labour and delivery registers
Note: This indicator should be interpreted with consideration of the VL testing coverage of HIV-positive pregnant women at delivery.
The recommended reporting period is 12 months.
- Age (<15, 15-19, 20-24, 25+)
- Timing of ART initiation (during pregnancy, on ART at first ANC visit).
WHO Strategic Information Guidelines, 2020 (https://indicatorregistry.unaids.org/sites/default/files/9789240000735-eng.pdf)