PEPFAR India program Indicators

[Guest guest]

PEPFAR India program Indicators. Moderators comment

Joe (1)

A brief content analysis of US President's Emergency Plan for AIDS

Relief (PREPFAR) Indicators for India programs presents an

interesting insight into the PREPFAR Program goals and objectives in

India.(PREPFAR 2005). Presenting, program level target indicators

need to be commented as they are an important aspect of enhancing

quality of service delivery and over all program accountability.

Such program indicators also present a tool to analyse the unmet HIV

response needs.

The indicators are presented in a cluster of 12 program areas.

1) Prevention of Mother-to-Child Transmission (PMTCT),

2) Abstinence and Be Faithful Programs,

3) Medical Transmission/Injection Safety,

4) Medical Transmission/Blood Safety,

5) Palliative Care: Basic health care and support,

6) Palliative Care: TB/HIV,

7) Orphans and Vulnerable Children,

8) HIV/AIDS Treatment/ARV Services,

9) Counseling and Testing,

10) Laboratory Infrastructure,

11) Strategic Information and

12) Other/policy analysis and system strengthening.

The word, `faithful' appears 5 times in this document. `Abstinence' 6 times,

`treatment' 6 times, `ARV' 1 time and `condom' 1 time.

Looking at the number of indicators for each cluster, it appears

that the emphasis of PEPFAR in India is on Counseling and Testing

(7 indicators) and Strategic Information (7 indicators)

Although, half of PEPFAR funding goes toward providing HIV/AIDS treatment,

significantly, there is no indicators on `the number of people ARV

treatment'through this initiative. One of the key strategies of Prevention of

Mother-to-Child Transmission (PMCT) is the provision for ARVs to ante-natal

mothers. There was also opportunities to look into the number of people

receiving ARV treatment in program areas such as,

a) Palliative Care: Basic health care and support,

Palliative Care: TB/HIV,

c) Orphans and Vulnerable Children and

d) HIV/AIDS Treatment/ARV Services.

In the area of policy analysis and system strengthening there are

indicators on the " Number of individuals trained in HIV-related

stigma and discrimination reduction " but there is in no indicators

related to HIV/AIDS and human rights.

An indicator on `good governance " of HIV response also would have

been another desirable indicator.

_________________

Summary Program Level Targets Report: Fiscal Year: 2006

1. Prevention of Mother-to-Child Transmission (PMTCT)

1. Number of service outlets providing the minimum package of

PMTCT services according to national or international standards

2. Number of individuals reached through community outreach

that promotes HIV/AIDS prevention through abstinence (subset of AB)

3. Number of individuals trained to promote HIV/AIDS prevention

through abstinence and/or being faithful

4. Number of pregnant women who received HIV counseling and

testing for PMTCT and received their test results

2. Abstinence and Be Faithful Programs

1. Number of individuals reached through community outreach

that promotes HIV/AIDS prevention through abstinence and/or being

faithful

3. Medical Transmission/Injection Safety

1. Number of individuals trained in injection safety

Other Prevention Activities

4. Medical Transmission/Blood Safety

1. Number of service outlets/programs carrying out blood safety

activities

2. Number of individuals trained in blood safety

3. Number of targeted condom service outlets

5. Palliative Care: Basic health care and support

1. Number of service outlets providing HIV-related palliative

care (excluding TB/HIV)

2. Number of individuals reached with community outreach that

promotes HIV/AIDS prevention through other behavior change beyond

abstinence and/or being faithful

3. Number of individuals trained to promote HIV/AIDS

prevention, prevention through other behavior change beyond

abstinence and/or being faithful

6. Palliative Care: TB/HIV

1. Number of service outlets providing clinical prophylaxis

and/or treatment for tuberculosis (TB) for HIV-infected individuals

(diagnosed or presumed) in a palliative care setting

2. Number of individuals trained to provide clinical

prophylaxis and/or treatment for TB to HIV-infected individuals

(diagnosed or presumed) according to national or international

standards

3. Number of individuals provided with HIV-related palliative

care (excluding TB/HIV)

4. Number of individuals trained to provide HIV-related

palliative care (including TB/HIV)

7. Orphans and Vulnerable Children

1. Number of OVC served by OVC programs

2. Number of providers/caretakers trained in caring for OVC

3. Number of HIV-infected clients attending HIV care/treatment

services that are receiving treatment for TB disease

4. Number of HIV-infected clients given TB preventive therapy

5. Number of individuals trained in counseling and testing

according to national or international standards

8. HIV/AIDS Treatment/ARV Services

1. Number of service outlets providing antiretroviral therapy

(includes PMTCT+ sites)

9. Counseling and Testing

2. Number of service outlets providing counseling and testing

according to national or international standards

3. Number of individuals who received counseling and testing

for HIV and received their test results

4. Number of individuals receiving antiretroviral therapy at

the end of the reporting period (includes PMTCT+ sites)

5. Total number of health workers trained to deliver ART

services, according to national and/or international standards

(includes PMTCT+)

6. Number of individuals newly initiating antiretroviral

therapy during the reporting period (includes PMTCT+ sites)

7. Number of individuals who ever received antiretroviral

therapy by the end of the reporting period (includes PMTCT+ sites)

10. Laboratory Infrastructure

1. Number of tests performed at USG-supported laboratories

during the reporting period: 1) HIV testing, 2) TB diagnostics, 3)

syphilis testing, and 4) HIV disease monitoring

11. Strategic Information

2. Number of individuals trained in strategic information

(includes M & E, surveillance, and/or HMIS)

3. Number of laboratories with capacity to perform 1) HIV tests

and 2) CD4 tests and/or lymphocyte tests

4. Number of individuals trained in the provision of lab-

related activities

5. Number of local organizations provided with technical

assistance for HIV-related institutional capacity building

6. Number of individuals trained in HIV-related policy

development

7. Number of local organizations provided with technical

assistance for strategic information activities

12. Other/policy analysis and system strengthening

1. Number of local organizations provided with technical

assistance for HIV-related policy development

2. Number of individuals trained in HIV-related community

mobilization for prevention, care and/or treatment

3. Number of individuals trained in HIV-related institutional

capacity building

4. Number of individuals trained in HIV-related stigma and

discrimination reduction

http://www.usaid.gov/in/Pdfs/PEPFAR_Ind.pdf

___________________________

(1) Personal views of the moderator

[Guest guest]

Dear FORUM,

None of the indicators stress on the number of ppl. receiving ARV and also none

related to the rights of HIV+ .

However the indicators still appear to be quite satisfactory as most of the

important components have been included in the indicators and emphasis has been

given to couselling and testing which are one of the most important aspects when

it comes to HIV intervention in India.

Warm Regards

Indira

********************************************

Indira Varadarajan

Executive Director

SNS Foundation

88-89 Industrial Development Colony

Mehrauli-Gurgaon Road, Gurgaon-122001

Ph- (0124)-2333851,2333129,2321665

Fax:- (0124)- 2391195, Mobile- 09810743570

Website- www.snsf.org

e-mail: <indira@...>