Guidelines for conducting HIV sentinel serosurveys among pregnant women and other groups

UNAIDS/WHO working group on global HIV/AIDS and STI surveillance

12 January 2004

ISBN 92 4 159140 4

These guidelines are written for NACP managers and epidemiologists responsible for monitoring trends in HIV prevalence in resource-constrained countries. These guidelines focus primarily on conducting serosurveys among pregnant women attending antenatal clinics. They also describe how to use and/or collect serosurveillance data from other groups such as the military, occupational groups, and blood donors, which can help characterize the epidemic, as well as help plan for prevention activities, clinical services, and resources. They guidelines also touch upon the use of HIV seroprevalence data among patients with tuberculosis (TB) and hospital inpatients, an important source of information on the impact of HIV on health services and for program planning and service delivery.

These guidelines propose specific approaches for conducting HIV serosurveillance using the principles of second-generation surveillance. They describe how to select sites, how to design and implement a serosurvey, how to analyze and interpret the data gathered, and how to disseminate the findings. Also included is a glossary of terms used in the document. These guidelines are part of a series of technical guidelines for developing and implementing second-generation surveillance systems.