ART Data elements with definitions and descriptions

Monthly Data

Monthly Data Elements Formula Description Information Provided from the Data

Adults started ART Sum of all adults initiated on HAART in a given month

All adults commenced ART, completed in patient register (source: ART monitoring system either T1, T2 or T3)

Enrolment of adults started ARTInforms monthly initiation of adults on HAART and helps to understand the growth of clinic, drug utilisation monthly, other.

Children (<15) started ART

Sum of all children (<15) initiated on HAART in a given month

All children (<15) commenced ART, completed in patient register (source: ART monitoring system either T1, T2 or T3)

Enrolment of adults started ARTInforms monthly initiation of children on HAART and helps to understand the growth of clinic, drug utilisation monthly, other.

Total patients started Sum of adults and children started ART in a given month

All patients started ART in a given month.(source: ART monitoring system either T1, T2 or T3)

As above, informs total enrolment on ART monthly

Adults Total remaining in care (>15)

Adult TRIC = adult(New + TFI + restart) - adult(RIP + LTF + TFO)

All adults still remaining in care at the end of the reporting month(source: ART monitoring system either T1, T2 or T3)

Actual number of adult clients in care at the ART service point

Total children in care (<15)

Child TRIC = child(New + TFI + restart) - child(RIP + LTF + TFO)

All children (<15) still remaining in care at the end of the reporting month(source: ART monitoring system either T1, T2 or T3)

Actual number of child clients in care at the ART service point

Total remaining in careTRIC

Sum of adult and child TRICAll TRIC = all(New + TFI + restart) - all(RIP + LTF + TFO)

All clients remaining in care at the end of the reporting month

Actual number of all clients in care at the ART service point

Quarterly DataIndicator

codeIndicators Indicator Formula Description Information provided from the indicator

TOT Number ART naive patients commenced

TOT = ART naive male + ART naive female commenced ARTOrTOT = (ART naive child <1) + (child 1 to 5) + (child 5 to <15) commencing ART

Total number of ART naive patients commenced ART

Number of ART Naive patients starting ART.In adults it provides the numerator for gender breakdown of adults commencing ART.In children it provides the numerator for age breakdown for children.

Proportion males on treatment

Male / Adult TOT % males starting HAART The proportion of males starting HAART. Conversely the number of woman starting HAART is this value minus 100.

Proportion children starting HAART less than 1 year

Child<1 / child TOT Proportion of children starting HAART who are less than 1

Compare the ages of children starting HAART and those starting HAART who are less than 1 year of age.

Proportion children starting HAART between 1 and less than 5

Child 1 - <5 / child TOT Proportion of children starting HAART between 1 and < 5

Compare the ages of children starting HAART and identify those starting HAART who are between the ages of 1 and who are less than 5

Proportion children starting HAART between 5 - <15

Child 5 - <15 / child TOT Proportion of children starting HAART between 5 and are < 15 years of age

Compare the ages of children starting HAART and identify those staring HAART who are between 5 and less than 15

CDD Total number of CD4 count done

CDD Proportion of CD4s being evaluated

Baseline characteristics of clients starting HAART are evaluated Provides denominator in evaluating baseline CD4 results

CD4100 CD4 < 100 proportionOr CD4 < 15% TLC (child)

(CD4<100) / CDD % CD4 counts less than 100 at baseline for adultsOr the % CD4 < 15% TLC at baseline for children

Proportion of clients starting HAART who are severely immunologically compromised.If the value changes over time the programme will be able to assess the impact of the intervention.

CD4199 CD4 < between 100 and < 199 (adults) and CD4 < 20% TLC children

(CD4<199) / CDD % clients starting HAART with CD4 between 100 and < 199 or children with CD4 < 20%

Proportion of clients starting HAART who are starting HAART with CD4 in the range of 100 to 199 or children starting HAART with a CD4 between 15 and 20%

CD4350 CD4 199 to 350 or CD4 < 25% TLC for children

(CD4<350) / CDD Proportion of clients starting HAART with a CD4 between 199 and 350

Proportion of clients starting HAART with a CD4 between 199 and 350 or between 20 and 25%

EXP Treatment experienced commenced

EXP / (EXP+TOT) Treatment experienced clients starting ART

Proportion of all clients commenced ART who are treatment experienced

FLR Continuing first line FLR / (FLR+SLR+STO) % continuing first line regimen The proportion of clients continuing on first line regimen

SLR Percent second line SLR / (FLR+SLR+STO) % on second-line regimen The proportion of clients changing from first line regimen to second line regimen will be able to be assessed over time

STO In care but stopped HAART

STO / (FLR+SLR+STO) % in care but stopped HAART This will illustrate the proportion of patients in care but stopped HAART

RIC Cumulative % in care (TOT-LTF-RIP-TFO) / (TOT-TFO) % remaining in care at x months This value will enable to programme to assess retention in care over time

RIP Cumulative % died (RIP) / (TOT-TFO) Cumulative % patients died At different time points the cumulative number of clients can be analysed. e.g. the number of patients who die early in treatment versus later on treatment

LTF Cumulative % LTF (LTF) / (TOT-TFO) Cumulative % of patients lost-to-follow up

This value shows the attrition of the programme of clients who have not attended services for greater than 90 days.

CDD CD4 completion % CDD / (FLR + SLR + STO) % CD4s done that should have been done

This is a programme quality indicator. This reports the number of CD4s that should have been done of clients at certain time points.

CDA CD4 > 200 percentage CDA / CDD % CD4s above 200 of those done

This shows the proportion of CD4s that are greater than 200 of the CD4s that are recorded. This indicates the population level immunological impact of clients on ART.

VLD Viral Load Done VLD / (FLR + SLR) % viral loads done that should have been done

This is a programme quality indicator. The reports the number of viral loads that should have been done of clients on ART.

VLS Viral Load Suppressed VLS / VLD % viral loads < 400 of those done

This shows the proportion of viral loads that are suppressed (less than 400) of the viral loads that are entered in the register.

* Note that the TFO, LTF and RIP used in the formula are the cumulative totals of all clients left care to that point, as opposed to the total in the most recent interval.