Guide for monitoring and evaluating national HIV testing and counselling (HTC) programmes
Expanding HTC services is a key activity for national programmes in order to achieving universal access to prevention, treatment and care. As services are scaled up and more resources are invested in HTC, national programmes must be able to establish standards, and ensure the quality of and coverage with HTC services among populations with the greatest need. An effective HTC programme will result in a larger number of people with HIV receiving an early diagnosis of, and care and treatment for, HIV. Focusing HTC services on those who are most vulnerable to acquiring HIV also presents an important opportunity for prevention counselling and referral to prevention services.
As in any programme, achieving these objectives requires a minimum, reliable set of data to guide the efficiency and effectiveness of service implementation. The purpose of this guide is to describe a set of indicators that can be used by national AIDS programmes to monitor and evaluate their HTC services. The guide aims to be as comprehensive as possible including HTC indicators that are relevant to other areas of work where HTC is a key intervention, such as services for prevention of mother to child transmission and TB. Several of the indicators are new and require field testing, this is why the guide has been presented as a field test version and it will be revised following field testing of new indicators.