Sentinel Indicators for HIV/AIDS Measuring Health Outcomes at MSH | 2010 - 2015

As part of MSH’s strategic roadmap, the Performance, Learning and Impact (PLI) unit has embarked in an effort to identify indicators that will help MSH measuring results in a systematic way for the various programmatic areas across the organization. This effort is part of MSH’s strategic goal 1: Save lives and improve health.

Sentinel indicators are intended to measure the outcomes at the highest level of results that MSH projects are accountable for.

Number of individuals who received counseling and testing for HIV and received their results

In the DRC, the IHP project increased their testing and counseling steadily through awareness-raising activities in communities, availability of rapid screening tests, and technical oversight by health zone management teams, as well as joint supportive supervision visits by MOH and IHP.

STAR-E's high achievement and increases were through a combination of provider-initiated HIV counseling and testing at local care centers and local outreaches to key and priority populations of hard to reach and highly vulnerable groups.

Nigeria ProACT's success is due to a community outreach approach as well as integrating laboratory teams actively in assessing lab systems functionality, gaps in coverage and infrastructure and sustaining field activities. The project also mentored clinicians to offer HTC services based on clinical symptomology, ensuring that testing was offered.

Number of pregnant women with known HIV status

MSH's programs helped over 2.2 million pregnant women know their HIV status in 5 countries

In Ethiopia, program supported research showed that many HIV-positive pregnant women want to fulfill their reproductive desires knowing that they can prevent transmission to their baby and protect their own health status as well.

Keeping track of HIV-positive women in the collected health system, combined with effective community outreach that has educated women and their families on the benefits of ANC and the effectiveness of PMTCT programs in preventing HIV transmission, has led to such significant numbers of women knowing their status.

Number of individuals with advanced HIV infection newly enrolled on ART

In four countries, MSH has new enrolled over 220,000 individuals with advanced HIV on ART over 6 years.

For each project, MSH met or exceeded their target number to enroll. Sending healthcare workers to remote areas to perform HIV testing has helped in early identification and diagnosis of HIV infection among children.

Billboard on PMTCT in Amhara

Percent of individuals known to be alive and on treatment 12 months after initiation of ARV therapy

Projects have increased their ability to track the percentage alive by providing tools and support such as transport reimbursements for tracers.

Number of eligible individuals provided with a minimum of one clinical service

In four countries, MSH has provided almost 750,000 individuals with a minimum of one clinical service over the past 6 years.

Clinical services include assessing pain, clinical staging, deterring eligibility for co-trimoxazole, and screening for tuberculosis.

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