This presentation proposes a set of core indicators for AIDS in the APRM process beyond 2015.

1. Strengthening AIDS
accountability and its
measurement in African
Union Member States
Setting core indicators for 2015
and beyond
11/8/2013
1

2. Background
• By decision Assembly/AU/Dec.477 (XXX) May 2013,
on the report of AIDS Watch Africa (AWA), the AU
Assembly “DECIDES to include AIDS, TB and Malaria
indicators as well as those of Maternal, Newborn
and Child Health in the African Peer Review
Mechanism (APRM) as part of our accountability for
the implementation undertaken and DIRECTS the
Commission to facilitate this.”
Setting core indicators for 2015 and beyond
11/8/2013
2

3. 1. HIV incidence
Short definition:
New HIV infections
HIV incidence, rate
Rationale:
The incidence rate is the number of new HIV infections in a
population during a certain time period. This measures
progress towards reducing new HIV infections.
Source:
Countries, through Global AIDS Response Progress
Reporting (UNAIDS)
Spectrum estimates
Setting core indicators for 2015 and beyond
11/8/2013
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4. 2. Access to treatment
Short definition: Percentage of adults and children estimated living
with HIV, who are receiving antiretroviral therapy
Rationale:
Antiretroviral therapy (ART) is reducing HIV-related
morbidity and mortality amongst those living with HIV
and reduces transmission of HIV. Countries estimate the
people in need of treatment using their own treatment
guidelines, but this indicator measures overall coverage,
comparable across countries.
Source:
Countries, through Global AIDS Response Progress
Reporting (UNAIDS)
Spectrum estimates
Setting core indicators for 2015 and beyond
11/8/2013
4

5. 3. Stigma and discrimination
Short definition:
Percentage of women and men aged 15-49 who report
discriminatory attitudes towards people living with HIV
Rationale:
Discrimination is a human rights violation and stigma
related to HIV and AIDS is a major bottle neck for people
accessing prevention, testing, treatment, care and support.
Measuring stigma and discrimination will enable
governments to take appropriate measure to reduce stigma
within the community and among key populations.
Source:
Countries, through Global AIDS Response Progress
Reporting (UNAIDS)
Democratic Health Surveys/AIDS Indicator
Surveys/Multiple Indicator Cluster Surveys
Setting core indicators for 2015 and beyond
11/8/2013
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6. 4. HIV testing
Short definition: Percentage of women and men aged 15-49 who received
an HIV test in the past 12 months and know their results
Rationale:
In order to protect themselves and to prevent infecting
others, it is important for individuals to know their HIV
status. Knowledge of one’s status is the critical factor in the
decision to seek treatment.
Source:
Countries, through Global AIDS Response Progress
Reporting (UNAIDS)
Setting core indicators for 2015 and beyond
11/8/2013
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7. Additional cross-cutting
indicators to consider:
#
A
B
C
Indicator
Intimate partner
violence
Short definition
Proportion of ever-married or partnered women aged
15-49 who experienced physical or sexual violence
from a male intimate partner in the past 12 months
Financial
accountability
on health
Percentage of health expenditure of country’s total
budget/expenditure
Governance and
public
accountability
To what extent the implementation of the national
AIDS response and results obtained are being
regularly (i.e. annually) reviewed and accounted for
in public by high level government authorities such
as Parliament or Cabinet? How are the results
shared and corrective measures publicized?
Setting core indicators for 2015 and beyond
Rationale
It measures progress in
reducing prevalence of
intimate partner violence
against women (as an
outcome itself and as a
proxy for gender
inequality).
Measures progress
against the Abuja
declaration target of
having 15% of total budget
spent on health.
Publicly shared review
mechanisms and policy
level decisions are an
integral part of
transparent, democratic
and empowering process
to engage broad spectrum
of society to a change
process. Policy question
on AIDS should be
incorporated to the policy
and governance section of
the questionnaire.
Source of data / tools
Countries, through Global
AIDS Response Progress
Reporting (UNAIDS)
Democratic Health
Surveys/AIDS Indicator
Surveys/Multiple Indicator
Cluster Surveys
Ministry of Finance
Budget/Spending analysis
APRM questionnnaire
11/8/2013
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8. Crash course on M&E – in 1 minute
Global HIV/AIDS M&E Framework & Illustrative Data
Most of APRM indicators
Roadmap indicators
Assessment
& Planning
Input
(Resources)
Situation Analysis
Response Analysis
Stakeholder Needs
Resource Analysis
Collaboration plans
Program
Development
Data
Staff
Funds
Materials
Facilities
Supplies
Activities
Output
Outcomes
Impact
( Interventions,
Services)
(Immediate
Effects)
(Intermediate
Effects)
(Long-term
Effects)
# Staff Trained
# Condoms Provided
# Clients Served
# Tests Conducted
Provider Behavior
Risk Behavior
Service Use
Clinical Outcomes
Quality of Life
Social Norms
HIV prevalence
STI Incidence
AIDS Morbidity
AIDS Mortality
Economic Impact
Trainings
Services
Education
Treatments
Interventions
Program-based Data
Population-based
Biological, Behavioral &
Social Data
In addition to monitoring these data types, select programs conduct process & outcome evaluations