STANDARD OPERATING PROCEDURE

(SOP)

HIV-PROGRAM TRACKING & QUALITY

IMPROVEMENT TOOL (H-PTQIT)

ICAP IN ETHIOPIA
JULY 7, 2025
Table of Contents
ABBREVIATIONS/ACRONYMS ........................................................................................... 3
BACKGROUND .......................................................................................................................5
RATIONALE ............................................................................................................................ 6
TERMS IN THE SOP AND USAGE GUIDE OVERVIEW .................................................. 7
DATA SUBMISSION TIMELINE .......................................................................................... 9
REVISION OF THE H-PTQIT SYSTEM VERSION ......................................................... 10
HIV PREVENTION INDICATORS..................................................................................... 11

POST_RESP ................................................................................................................................................12

People at high-risk for HIV infection: PHRH_PREV ..........................................................................13

PrEP_NEW ..................................................................................................................................................15

PrEP_CT ......................................................................................................................................................17

PrEP_HTS ....................................................................................................................................................19

Intimate Partner Violence (IPV) ...............................................................................................................20

Social Network Service (SNS)....................................................................................................................21

Voluntary Medical Male Circumcision (VMMC) ....................................................................................22

HIV Testing Services (HTS) ................................................................................................... 23

Adult OPD_HTS .........................................................................................................................................24

Pediatrics (Under 5) OPD_HTS ...............................................................................................................25

Malnutrition Clinic_HTS ............................................................................................................................26

Emergency Ward/OPD_HTS ...................................................................................................................27

Other OPD_HTS ........................................................................................................................................28

In-patient Department (IPD)_HTS ..........................................................................................................29

Catchment Outreach Site_HTS .................................................................................................................30

HIV Risk Screening Tool (HRST) Utilization.........................................................................................31

Index Case Testing (ICT)_HTS.................................................................................................................32

Voluntary Counseling and Testing (VCT)_HTS.....................................................................................33

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 Tuberculosis (TB)_HTS .............................................................................................................................34

Sexually Transmitted Infection (STI)_HTS .............................................................................................35

People at high-risk for HIV infection (PHRH)_HTS ............................................................................36

ANC1_HTS ..................................................................................................................................................37

Post ANC1: Pregnant/Labor_HTS ..........................................................................................................38

Post ANC1: Breastfeeding/PNC_HTS ...................................................................................................39

Partner of ANC/L&D/PNC_HTS ..........................................................................................................40

Early Infant Diagnosis (EID)_HTS..........................................................................................................41

HIV Exposed Infant (HEI)_HTS .............................................................................................................42

Final Outcome (FO)_HTS .........................................................................................................................43

HIV Self Testing_HTS ...............................................................................................................................44

Social Networking Service (SNS)_HTS ...................................................................................................45

Weekly PTQIT report .................................................................................................................................46

HIV CARE & TREATMENT INDICATORS ...................................................................... 48

Positive Tracking Register (PTR) ..............................................................................................................49

TB Screening, Diagnosis, and Treatment.................................................................................................50

Mental Health Illness (MHI) ......................................................................................................................51

Cryptococcal Meningitis (CCM) ................................................................................................................52

Non-communicable Disease (NCD) ........................................................................................................53

REFERENCES ....................................................................................................................... 55
ANNEX ................................................................................................................................... 56

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ABBREVIATIONS/ACRONYMS

Abbreviations/Acronyms Descriptions
ACM Adherence Case Manager
AHD Advanced HIV Disease
ANC Antenatal Care
ART Antiretroviral Therapy
CA City Administration
CCM Cryptococcal Meningitis
CDC U.S. Centers for Disease Control and Prevention
CrAg Cryptococcal Antigen
CSF Cerebrospinal Fluid
DATIM Data for Accountability, Transparency, and Impact Monitoring
DHIS2 District Health Information Software 2
EID Early Infant Diagnosis
EMR Electronic Medical Record
FO Final Outcome
HEI HIV Exposed Infant
HIT Health Information Technician
HIV Human Immunodeficiency Virus
HPV Human Papillomavirus
HRST HIV Risk Screening Tool
HTN Hypertension
HTS HIV Testing Services
H-PTQIT HIV-Program Tracking and Quality Improvement Tool
ICT Index Case Testing
IIT Interruption in Treatment
IPD In-Patient Department
IPV Intimate Partner Violence
LIS Laboratory Information System
LIVES First-line support for survivors of violence
MCH Maternal and Child Health
M&E Monitoring and Evaluation
MHI Mental Health Illness
MMD Multi-Month Dispensing
MoH Ministry of Health
NCD Non-Communicable Disease
OI Opportunistic Infection
OPD Outpatient Department

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Abbreviations/Acronyms Descriptions
OVC Orphans and Vulnerable Children
PEP Post-Exposure Prophylaxis
PEPFAR President’s Emergency Plan for AIDS Relief
PHRH People at High-Risk for HIV infection
PITC Provider-Initiated Testing and Counseling
PLHIV People Living With HIV
PMTCT Prevention of Mother-to-Child Transmission
PNC Postnatal Care
PrEP Pre-Exposure Prophylaxis
PTR Positive Tracking Register
QI Quality Improvement
RHB Regional Health Bureau
Rx Treatment
SDC Sero-Discordant Couple
SDP Service Delivery Point
SNS Social Network Strategy
SOP Standard Operating Procedure
SPEV Sexual, Physical, and Emotional Violence
STI Sexually Transmitted Infection
TB Tuberculosis
TB DOT Tuberculosis Directly Observed Therapy
TI Transfer In
TO Transfer Out
TPT Tuberculosis Preventive Therapy
TX_CURR Currently on Treatment
TX_NEW Newly Initiated on Treatment
VCT Voluntary Counseling and Testing
VL Viral Load
VMMC Voluntary Medical Male Circumcision

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BACKGROUND

Ethiopia has committed to achieving the global 95-95-95 targets by 2025, which aim to ensure that
95% of people living with HIV know their status, 95% of those diagnosed receive sustained
antiretroviral therapy (ART), and 95% of those on ART achieve viral suppression. To address the
challenges in HIV epidemic control, prevention, and treatment programs, Ethiopia is implementing
the 95-95-95 strategies nationwide.

ICAP in Ethiopia has developed the HIV Program Tracking and Quality Improvement Tool (H-
PTQIT) for performance monitoring and quality improvement to support these efforts. The
H-PTQIT implementing RHBs include: Addis Ababa, Amhara, Tigray, Gambella, Sidama, Southwest
Ethiopia, South Ethiopia, and Central Ethiopia. This tool addresses major programmatic gaps that
hinder the achievement of the 95-95-95 goals and helps sustain epidemic control in Ethiopia. The
H-PTQIT is aligned with the core performance indicators of the President’s Emergency Plan for
AIDS Relief (PEPFAR).

The general objective of this Standard Operating Procedure (SOP) is to provide comprehensive and
unified guidance for monitoring the performance of the H-PTQIT-implementing RHBs and their
respective health facilities using the H-PTQIT. Moreover, it aims to improve the quality of HIV
program data, ensure accurate reporting, and make data immediately actionable at the point of
generation.

The SOP focuses on four major thematic area indicators:

1. HIV prevention services
2. HIV testing services
3. HIV care and treatment services

Overall, the SOP offers detailed guidance by clearly explaining indicator descriptions, data elements,
disaggregation methods, data collection techniques, collection unit, data sources, reporting templates,
reporting frequency, and the roles and responsibilities of involved personnel. This comprehensive
approach ensures the tool is user-friendly and facilitates effective performance monitoring.

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RATIONALE

The H-PTQIT has been developed mainly to enhance the utilization of HIV program data at the point
of generation. This enables each Service Delivery Point (SDP) team to quickly identify gaps and missed
opportunities, allowing for timely and appropriate actions. The H-PTQIT focuses on several key areas:

1. Maximize case detection and ART initiation by identifying and promptly starting all potential
cases on ART.

2. Identify missed opportunities and address gaps during HIV testing and linkage to care and
treatment services for better patient outcomes.

3. Enhance efforts to prevent the spread of HIV through targeted interventions.

4. Ensure regular and timely viral load testing to monitor patient health and treatment efficacy.

Additionally, the H-PTQIT will be based on the District Health Information Software 2 (DHIS2)
system, thereby improving reporting accuracy and data quality, and simplifying donor reporting
through the Data for Accountability, Transparency, and Impact Monitoring (DATIM) mechanism.

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TERMS IN THE SOP AND USAGE GUIDE OVERVIEW

The H-PTQIT SOP is designed to provide detailed and standardized guidance for monitoring and
improving program effectiveness. Below is an elaboration of the guidance overview that will be used
throughout the document:

• Types of indicators and their definition:

− Standard indicators: These indicators are adopted from the MER (Monitoring, Evaluation,
and Reporting) guidance to ensure consistency and standardization across programs.

− Custom indicators: These indicators are adapted from national guidelines to address specific
local needs and contexts.

• Purpose of the indicator:

− Monitoring: The primary purpose of the indicator is to track progress and performance
during the reporting period. This helps to identify areas that need attention and improvement.

− Program improvement: The data collected through these indicators is used to enhance the
effectiveness of the HIV program by analyzing the data, and stakeholders can make informed
decisions to improve service delivery and outcomes.

• Data elements refer to cascade/subgroups. This section provides a detailed breakdown of the
categories and subcategories for each indicator as applicable. It helps in understanding the flow of
data and the specific elements that need to be collected.

• Unit of collection refers to service delivery points: This describes the specific units (such as OPD,
ART clinic, VCT, etc.) from which the data should be collected in the health facility. It ensures
that data will be collected consistently and covers all relevant service delivery points.

• Data Source: This refers to the data source for each indicator. It identifies where the data is being
documented, compiled from, and ensures that it is reliable and accurate.

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• Disaggregation: This section explicitly describes the standard disaggregation of age and sex for
each indicator. It ensures that the data collected fits the requirements of DATIM and DHIS2
reports.

• Who collects the data? refers to the responsible personnel: This identifies the individuals
responsible for collecting the data from each service delivery points in the health facility. It is
based on the availability of human resources, preferably trained, and the assignment of
responsible persons by the facility leadership within the context of the region and health
facilities.

• Data quality: This section ensures that the data collected is of high quality. It includes rules for
validating the data to ensure logical flow and consistency, such as ensuring that the denominator
is greater than or equal to the numerator.

• Reporting frequency: It describes the frequency of collecting and submitting data for each
indicator. It ensures that data is collected and reported regularly and consistently.

• Reporting format/template: This provides a standard format for reporting the H-PTQIT data.
It ensures that all reports are consistent and easy to understand.

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DATA SUBMISSION TIMELINE

The H-PTQIT data collection period should be aligned with the national DHIS2 reporting calendar.
According to the DHIS2, the data period spans from the 21st to the 20th of each month or quarter.
Therefore, the H-PTQIT data collection will occur from the 21st to the 25th in the Ethiopian calendar,
with data submission expected to begin on the 26th of the reporting period. Refer to the DHIS2
calendar, Table 1.

Table 1: National DHIS2 Data submission calendar by the type of reporting health care facilities.

Type of Health Care The latest date (E.C.)

S. N Reporting level
Facility report should be submitted

1 Health facilities Woreda/Town health offices 26th of the month

2 Woreda Health Offices Zonal Health Departments/Sub-cities 2nd of the next month

Regional Health Bureaus/City

3 ZHDs/Sub-cities 7th of the next month
Administrations (CA)

Regional Health
4 Ministry of Health (MoH) 15th of the next month
Bureaus/CA

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REVISION OF THE H-PTQIT SYSTEM VERSION

The DHIS2-based HIV Program Tracking and Quality Improvement Tool (H-PTQIT) will be revised
periodically to ensure it remains aligned with programmatic goals and responsive to user needs. The
H-PTQIT customization team will continuously gather and assess feedback and requirements from
end-users and stakeholders to identify areas for enhancement. A standardized feedback collection tool
will be developed and disseminated to stakeholders every six months to gather input from end-users.

A national review team—comprising representatives from the Ministry of Health, Regional Health
Bureaus, the U.S. Centers for Disease Control and Prevention, and ICAP—will evaluate the collected
feedback and determine the scope of revisions. System updates will be implemented and released every
six months. However, if there are exceptional reasons that require upgrading or modifying the H-
PTQIT system before the six-month interval, prior approval must be obtained from the national
review team.

To ensure standardization and effective version control, all revised versions of H-PTQIT will be
deployed uniformly across the country. Independent modifications by RHBs or other entities are not
permitted.

In addition, the RHBs are expected to play a key role in the revision process by systematically gathering
feedback and requirements from end-users and relevant stakeholders within their regions. This
information should be documented and formally reported to the H-PTQIT customization team to
inform the biannual review and update cycle.

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HIV PREVENTION INDICATORS

This section addresses the SOP for HIV prevention indicators data that are collected using H-PTQIT:

● POST_RESP: receiving post-sexual, physical, and emotional violence (SPEV) clinical care.

● PHRH_PREV: Prevention interventions for people at higher risk for HIV infection.

● PrEP_NEW: Pre-exposure prophylaxis, newly enrolled.

● PrEP_CT: Pre-exposure prophylaxis continuing (on follow-up).

● IPV: Intimate Partner Violence.

● SNS: Social Network Services.

● VMMC: Voluntary Medical Male Circumcision.

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POST_RESP
Number of people receiving post-sexual, physical, and emotional violence (SPEV) clinical care
Descriptions
based on the minimum package
To measure the delivery of a basic package of SPEV clinical services, including PEP and
Purpose Emergency contraceptives, as a result of any sexual violence (i.e., not limited to sexual violence
associated with any HIV service delivery activities).
S. N Subgroups/Cascade How to collect
Number of people receiving post-SPEV clinical care based
1 • Unit of collection: One-
on the minimum service packages.
Stop Center, dedicated
1.1 Number of sexual violence
Unit, YFS Clinic,
Number of people seen within 3 days (72Hrs) after the
1.1.1 Emergency OPD &
incident
MCH Unit
1.1.1. Number of people seen within 3 days (72Hrs) after the
• Data source: post-SPEV
1 incident and eligible for PEP
register
1.1.2 Number of people receiving PEP Service
Data • Disaggregation: for
1.1.3 Number of Sexual Violence cases completed PEP
elements S.N: [1/1.1/1.1.2/1.2]:
Number of People who received Emergency
1.1.4 − Sex: M/F
contraception
− Age: <10, 10-14, 15-
1.2 Number of Physical and/or Emotional Violence
19, 20-24, 25-29, 30-
Number of survivors of SPEV who received HIV testing
2 34, 35-39, 40-44, 45-
service.
49, 50+.
2.1 Number of survivors of SPEV with known HIV+ Status
− N/A for S.N: 1.1.1,
2.2 Number of survivors of SPEV tested for HIV
1.1.1.1, 1.1.3, 1.1.4, 2,
2.3 Number of survivors of SPEV with HIV test Positive
2.1, 2.2, 2.3, and 2.4.
2.4 Number of survivors of SPEV linked to the ART service
Data quality The Cascade should be in the logical flow, and the Denominator ≥ Numerator.
A designated individual from M&E officers, HIT officers, data clerks, and providers at the sexual
Who collects violence clinic will collect data based on their availability within the regional and health facility
context.
Reporting frequency Monthly

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People at high-risk for HIV infection: PHRH_PREV
Descriptions The number of people at PHRH reached at least once with individual and/or small group-level HIV
primary or secondary prevention interventions designed for the target population through service
providers and /or Peer service providers in the reporting period by the reporting facility (Friendly
clinic for people at higher risk of HIV infection).
Purpose To monitor the PHRH that have received a prevention activity, ensure they have been provided
with or offered, independent of the modality:
• HIV testing service (HTS)or distributed an HIV self-test (HIVST) kit
• Condoms AND
• Offered or referred for PrEP.
Data elements S. N Subgroups/Cascade
1 Number of PHRHs reached with HIV prevention interventions designed for the target
population
2 Number of PHRHs with already known HIV status
2.1 Number of PHRHs with already known HIV-positive status
3 Number of PHRHs with unknown HIV status
4 Number of PHRHs newly tested for HIV
5 Number of PHRHs declined testing and/ or referral for testing
6 Number of PHRHs tested HIV positive
7 Number of PHRHs tested HIV positive linked to ART clinic/services
8 Number of PHRHs initiated on ART
9 Number of PHRHs tested HIV negative
10 Number of PHRHs screened for STI among reached for prevention
10.1 Number of PHRHs with STI syndrome.
10.2 Number of PHRHs managed for STI
11 Number of PHRHs screened for IPV/SPEV among those reached.
11.1 Number of PHRHs screened positive (High risk) for IPV/SPEV
11.2 Number of PHRHs with Physical/Emotional violence
11.3 Number of PHRHs with Sexual Violence
11.4 Number of PHRHs linked for LIVES / Post-SPEV care
12 PHRHs partner
12.1 Number tested
12.2 Number tested HIV Positive

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 12.3 Number initiated on ART
How to • Unit of collection: PHRHs clinic.
collect • Data source: PHRH's clinic integrated register.
− Generated by counting the number of de-duplicated unique individuals from an
activity who are reached with primary or secondary prevention interventions designed
for the intended high-risk population.
− Primary:
− Secondary:
− Known HIV status includes known HIV positives and recently tested negatives (3 to
6 months)
− Known Positive: Verified known to be living with HIV.
o Unknown HIV Status: do not know their HIV status, or their last HIV-
negative test was more than 3-6 months ago (as indicated by National
Guidelines).
o A PHRHs shall be reported once in the semiannual report unless there is an
HIV status change (tested Positive)
• Disaggregation:
− Sex: N/A
− Age: N/A
Data Quality The cascade should be in the logical flow, and the Denominator ≥ Numerator.
Who collects A designated individual from M&E officers, HIT officers, data clerks, and providers at ART,
PMTCT, ANC, or PHRH clinics will collect data based on their availability within the regional and
health facility context.
Reporting frequency Monthly

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PrEP_NEW
Descriptions Number of individuals who were newly enrolled in pre-exposure prophylaxis (PrEP) to prevent HIV
infection in the reporting period
Purpose Measures the ongoing growth of PrEP initiations, which is crucial for assessing the program's
response to the HIV epidemic in specific geographic areas and the uptake among the PHRH. It
allows for monitoring trends in PrEP use and informing strategies.
Data element S. N Subgroups/Cascade
1 Number of clients eligible for PrEP in the reporting period.
1.1 Partners of sero-discordant couples (SDCs)
1.2 PHRH
1.3 Other Population
2 Number of clients initiated on PrEP in the reporting period.
2.1 Number of clients-initiated PrEP from eligible individuals in the previous reporting period
3 Population Type
3.1 Partners of Sero-discordant couples (SDCs)
3.1.1 Pregnant women
3.1.2 Breastfeeding
3.2 PHRH
3.2.1 Pregnant
3.2.2 Breastfeeding
3.3 Other Populations
3.3.1 Pregnant
3.3.2 Breastfeeding
4 PrEP Type
4.1 Oral
4.2 Injectable
4.3 Other
4a PrEP_ New from ANC/PNC service delivery points
4a.1 Number of HIV Negative ANC/PNC clients seen
4a.1.1 Pregnant women
4a.1.2 Breastfeeding women
4a.2 Number of HIV Negative ANC/PNC clients screened for PrEP
4a.2.1 Pregnant women

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 4a.2.2 Breastfeeding women
How to • Unit of collection: ART, ANC, PNC, PMTCT, and PHRH clinics.
collect • Data source:
− Integrated PHRH clinic register
− PrEP register
− ICT register
− PHRH HIV negative follow-up register
− High Risk Preg & Breast-feeding mothers Logbook
Count as:
o New Enrollees: individuals newly starting PrEP for the first time during the
reporting period.
o Record Characteristics: SDC partner, Pregnant, and breastfeeding.
o Exclude Previous Users: Do not count those who have taken any PrEP before.
o Include Oral, Long-Acting Injectable PrEP, or Other after the first initiation dose.
o Others: additional Population category (other than SDC & PHRH) for PrEP service
or
o Types of PrEP options availed as per the national guideline/guidance (other than Oral
and Injectable).
• Disaggregation: ONLY for S.N 2 & 2.1
− Sex: M/F
− Age: 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50+.
Data Quality The cascade should be in the logical flow, and the Denominator ≥ Numerator.
Who collects A designated individual from M&E officers, HIT officers, data clerks, and providers at ART,
PMTCT, ANC, or PHRH clinics will collect data based on their availability within the regional and
health facility context.
Reporting frequency Monthly

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PrEP_CT
Descriptions Number of individuals, excluding those newly enrolled, who return for a follow-up visit or re-
initiation visit to receive pre-exposure prophylaxis (PrEP) to prevent HIV during the reporting
period
Purpose Tenofovir-containing oral PrEP or injectable PrEP significantly reduces the risk of HIV
acquisition across various populations. Monitoring PrEP service utilization is essential for
understanding engagement levels and enhancing implementation strategies in high-incidence
communities. This indicator aims to measure the continuity of PrEP use, tracking periods of HIV
acquisition risk and ceasing once the individual is no longer at risk. It focuses on measuring the
continued use of PrEP at any point within the reporting period.
Data element S. N Subgroups/Cascade
1 Number of individuals that returned for a follow-up or re-initiation visit to receive
PrEP during the reporting period (PrEP_CT)
2 Population Type
2.1 Partners of Sero-discordant couples (SDCs)
2.1.1 Pregnant women
2.1.2 Breastfeeding
2.2 PHRH
2.2.1 Pregnant
2.2.2 Breastfeeding
2.3 Other Populations
2.3.1 Pregnant
2.3.2 Breastfeeding (Optional)
3 PrEP Type
3.1 Oral
3.2 Injectable
3.3 Other
How to collect • Unit of collection: ART, ANC, PNC, PMTCT, and PHRH clinic.
• Data source: collected from PrEP register, ICT register, PHRH clinic integrated registers,
High Risk Pregnant & Breastfeeding mothers Logbook.
How to count:

− PrEP_NEW vs. PrEP_CT:

17
 o Count individuals initiating PrEP in the reporting period under
PrEP_NEW.
o Do not count the same individuals under PrEP_CT if they return for
follow-up within the same period.
− Transitioning PrEP Methods:
o Count individuals switching from one PrEP method to another (e.g., oral to
injectable) under PrEP_CT as re-initiation or continuing users, not under
PrEP_NEW.
o Record only the PrEP type at the most recent visit in the reporting period.
− Multiple Follow-Up Visits:
o Count established users with multiple follow-up visits only once, based on
their most recent visit.
o For long-acting injectable PrEP requiring multiple injections in one period,
count the user under PrEP_CT only once.
− Positive Test and ART Initiation:
o If a PrEP user tests positive and starts PEPFAR-supported treatment in the
same period, count them under PrEP_CT, TX_NEW, and TX_CURR.
o Do not count them under PrEP_CT in subsequent periods.
• Disaggregation: ONLY for S.N 1:
− Sex: M/F
− Age: 15- 19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50+.
Data Quality The cascade should be in the logical flow, and the Denominator ≥ Numerator.
Who collects A designated individual from M&E officers, HIT officers, data clerks, and providers at ART,
PMTCT, ANC, or PHRH clinics will collect data based on their availability within the regional
and health facility context.
Reporting frequency Monthly

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PrEP_HTS
Descriptions Number of PrEP clients retested for HIV during follow-up visits
Purpose This is to monitor the periodic HIV testing service provided for PrEP clients, which will help in
the evaluation of the PrEP program outcome.
Data element S. N Subgroups/Cascade
1 Number of clients retested for HIV during follow-up visits in the reporting period
1.1 Positive
1.1.1 Partners of Sero Discordant couples (SDCs)
1.1.1.1 Pregnant women
1.1.1.2 Breastfeeding
1.1.2 PHRH
1.1.2.1 Pregnant women
1.1.2.2 Breastfeeding
1.1.3 Other Population
1.2 Negative
1.2.1 Partners of Sero Discordant couples (SDCs)
1.2.2. PHRH
1.2.3 Other Population
How to collect • Collection unit: ART, ANC, PNC, PMTCT, and PHRH clinic.
• Data source: collected from PrEP register, ICT register, PHRH clinic registers, High Risk
Preg & Breastfeeding mothers Logbook.
• Disaggregation:
− Sex: N/A
− Age: N/A
Data Quality The cascade should be in the logical flow, and the Denominator ≥ Numerator.
Who collects A designated individual from M&E officers, HIT officers, data clerks, and providers at ART,
PMTCT, ANC, or PHRH clinics will collect data based on their availability within the regional and
health facility context.
Reporting frequency Monthly

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Intimate Partner Violence (IPV)

Number of adult and adolescent index cases screened for IPV, found to be at high risk for IPV,
Descriptions who reported IPV as an adverse event during and after ICT service, and linked to LIVES/SPEV
care services.

To monitor and assess the prevalence and impact of IPV among index clients. It also aims to
Purpose ensure that clients receive appropriate support and services without feeling obligated to provide
contact or personal information.
S. N Subgroups/Cascade How to collect
Number of adult & adolescent index cases
1
accepted & enrolled into ICT services
Number of adult and adolescent index cases
2
elicited a partner.
• Unit of collection: ART,
Number of adult& adolescent index cases
3 PMTCT, and PHRH clinic.
screened for IPV
Data elements • Data source: ICT register.
Number of adult& adolescent index cases found
4 • Disaggregation:
high risk for IPV
− Sex: M/F
Number of adult & adolescent index cases who
− Age: N/A
5 reported IPV as an adverse event during and after
ICT service
Number of adult& adolescent index cases linked
6
to LIVES/POST_RESP care services
Data Quality The cascade should be in the logical flow, and the Denominator ≥ Numerator.
A designated individual from M&E officers, HIT officers, data clerks, ICT focal persons, and
Who collects providers at ART, PMTCT, or PHRH clinics will collect data based on their availability within the
regional and health facility context.
Reporting frequency Monthly

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Social Network Service (SNS)

Number of Coupons distributed, network members eligible for SNS test, number tested, and their
Descriptions
results, including linkage for confirmed HIV positive.

Monitor trends in the distribution of coupons, HIV screening, confirmatory tests, and linkage to
Purpose
better reach the target population.
S. N Subgroups/Cascade How to collect
1 Number of coupons distributed • Unit of collection: PHRH
2 Number of coupons returned clinic.

Number Network members eligible for SNS • Data source: SNS register.
3
testing • Disaggregation:
Data elements
− Sex: M/F
4 Number Network members tested
− Age: N/A
5 Number of clients who tested HIV positive
− Population Category:
Number of clients tested HIV positive linked WECSW, Other
6
to care Network members
Data Quality The cascade should be in the logical flow, and the Denominator ≥ Numerator.
A designated individual from M&E officers, HIT officers, data clerks, and providers at ART,
Who collects PMTCT, or PHRH clinics will collect data based on their availability within the regional and
health facility context.
Reporting frequency Monthly

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Voluntary Medical Male Circumcision (VMMC)
Number of males circumcised as part of the voluntary medical male circumcision (VMMC) for HIV
Descriptions
prevention program within the reporting period
used to evaluate whether prioritized services have been successful at reaching the intended
Purpose
population (by age, HIV status, and circumcision technique).
S. N Subgroups/Cascade How to collect

1 Number of males circumcised

2 Number screened for the HIV test
3 Number eligible for the HIV test
4 Number of clients tested for HIV
4.1 Number tested HIV-positive. • Unit of collection: VMMC Minor OR
Number registered on the positive tracking & VMMC Room.
4.2
register. • Data source: VMMC Registers.
Number of clients with indeterminate HIV
Data 5 • Disaggregation:
elements status or not tested for HIV at the site.
− Sex: N/A
6.1 Surgical VMMC: Follow-up within 14 days
− Age: <1, 1-4, 5-9, 10-14, 15-19,
Surgical VMMC: Follow-up is NOT within
20-24, 25-29, 30-34, 35-39, 40-44,
6.2 14 days, or did not follow-up within the
45-49, 50+.
reporting period.
− N/A for S.N. 6.1, 6.2, 7.1, 7.2.
Device-based VMMC: Follow-up within 14
7.1
days of device placement.
Device-based VMMC: Follow-up is NOT
7.2 within 14 days, or did not follow-up within
the reporting period
Data Quality The cascade should be in the logical flow, and the Denominator ≥ Numerator.
A designated individual from M&E officers, HIT officers, data clerks, or VMMC providers will
Who collects
collect data based on their availability within the regional and health facility context.
Reporting frequency Monthly

22
HIV Testing Services (HTS)

This section addresses the SOP for HIV testing indicators data at different SDPs that are being collected
using PTQIT:

▪ Adult OPD ▪ High-risk populations-HTS

▪ Pediatrics OPD ▪ Index Case Testing (ICT):
▪ Malnutrition ▪ HIV Risk Screening Tool (HRST) Utilization:
▪ TB ▪ PMTCT_EID
▪ Emergency Ward ▪ PMTCT_HEI
▪ Inpatient ▪ PMTCT_FO
▪ VCT ▪ PMTCT ANC1
▪ STI ▪ PMTCT Post ANC 1: Pregnant/L&D
▪ Other PITC ▪ PMTCT Post ANC 1: Breastfeeding
▪ Outreach HTS ▪ Other (ANC, Labor, and PNC Partner)
▪ HTS_Self ▪ Weekly PTQIT report
▪ SNS-HTS
▪ Positive Tracking Register: All HIV-positive individuals recorded in PTR

23
Adult OPD_HTS

This data includes the number of tests conducted, new HIV-positive results, and Linkage for
Descriptions care and treatment. The data is collected from all adult OPDs and aggregated as one Service
Delivery Point (SDP) report.
Purpose To track the HIV testing service and Linkage for care and treatment from Adult OPD.
S. N Subgroups/Cascade How to collect

• Collection unit: All adult OPDs

1 Number tested
• Data source: all adult OPD Abstract
Registers
• Disaggregation:
Data elements − Sex: M/F
2 Number tested positive
− Age: 1-4, 5-9, 10-14, 15-19, 20-
24, 25-29, 30-34, 35-39, 40-44,
45-49, 50+

Number registered on the positive − Disaggregation: ONLY sex:

3
tracking register M/F
Data Quality The cascade should be in the logical flow, and the Denominator ≥ Numerator.
A designated individual from M&E officers, HIT officers, data clerks, or healthcare providers
Who collects
will collect data based on their availability within the regional and health facility context.
Reporting frequency Monthly

24
Pediatrics (Under 5) OPD_HTS

This data includes the number of tests conducted, new HIV-positive results, and Linkage for
Descriptions care and treatment. The data is collected from all Pediatrics (Under 5) OPD and aggregated as
one Service Delivery Point (SDP) report.
To track the HIV testing service and Linkage for care and treatment from Pediatrics (Under 5)
Purpose
OPD.
S. N Subgroups/Cascade How to collect
• Unit of collection:
1 Number tested
− Hospital: Pedi OPD
− Health center: Adult/ Pediatric OPD
and <5 OPD.
• Data source: OPD Abstract Registers,
2 Number tested positive IMNCI Register.
Data elements
• Disaggregated by:
− Sex: M/F
− Age: 1-4, 5-9, 10-14.

Number registered on positive

3 − Disaggregation ONLY by sex: M/F
tracking register

Data Quality The cascade should be in the logical flow, and the Denominator ≥ Numerator.
A designated individual from M&E officers, HIT officers, data clerks, or healthcare providers
Who collect
will collect data based on their availability within the regional and health facility context.
Reporting frequency Monthly

25
Malnutrition Clinic_HTS

This data includes the number of tests conducted, new HIV-positive results, and Linkage for
Descriptions care and treatment. The data is collected from all the Malnutrition Clinics and aggregated as one
Service Delivery Point (SDP) report.
To track the HIV testing service and Linkage for care and treatment from the Malnutrition
Purpose
Clinic.
S. N Subgroups/Cascade How to collect

1 Number tested
• Unit of collection: Malnutrition
Clinic/Ward.
• Data source: Growth Monitoring,
Malnutrition Register
2 Number tested positive
Data elements • Disaggregation:
− Sex: M/F
− Age: 1-4.

Number registered on the

3 − Disaggregation: ONLY by sex: M/F
positive tracking register

Data Quality The cascade should be in the logical flow, and the Denominator ≥ Numerator.
A designated individual from M&E officers, HIT officers, data clerks, or healthcare providers
Who collect
will collect data based on their availability within the regional and health facility context.
Reporting frequency Monthly

26
Emergency Ward/OPD_HTS

This data includes the number of tests conducted, new HIV-positive results, and Linkage for
Descriptions care and treatment. The data is collected from all Emergency OPD/wards and aggregated as one
Service Delivery Point (SDP) report.
To track the HIV testing service and Linkage for care and treatment from the Emergency
Purpose
OPD/Ward.
S. N Subgroups/Cascade How to collect
• Unit of collection:
1 Number Tested
− Hospital: Adult & Pedi EMR
Ward
− Health Center: EMRG OPD
• Data source: EMR Register
• Disaggregated:
2 Number Tested Positive
Data elements − Sex: M/F
− Age: 1-4, 5-9, 10-14, 15-19, 20-24,
25-29, 30-34, 35-39, 40-44, 45-49,
50+.

Number Registered on the Positive

3 − Disaggregation: ONLY by sex: M/F
Tracking Register

Data Quality The cascade should be in the logical flow, and the Denominator ≥ Numerator.
The designated M&E officer, HIT, data clerk, or healthcare provider will collect data according
Who collect to their training and the relevance of their responsibilities within the health facility and regional
context.
Reporting frequency Monthly

27
Other OPD_HTS

This data includes the number of tests conducted, new HIV-positive results, and Linkage for
Descriptions care and treatment. The data is collected from all other OPDs and aggregated as one Service
Delivery Point (SDP) report.
Purpose To track the HIV testing service and Linkage for care and treatment from other OPDs.
S. N Subgroups/Cascade How to collect
• Unit of collection:
1 Number tested
− Hospital: PMTCT_FO, YFS, Specialty Clinic
& FP
− Health center: PMTCT_FO, FYS, Specialty
Clinic & FP.
• Data source: PMTCT Cohort, YFS, Abstract
2 Number tested positive OPD, FP Registers.
Data elements
• Disaggregation:
− Sex: M/F
− Age: 1-4, 5-9, 10-14, 15-19, 20-24, 25-29, 30-
34, 35-39, 40-44, 45-49, 50+.

Number registered on the

3 − Disaggregated ONLY by sex: M/F
positive tracking register

Data Quality The cascade should be in the logical flow, and the Denominator ≥ Numerator.
A designated individual from M&E officers, HIT officers, data clerks, or healthcare providers
Who collect
will collect data based on their availability within the regional and health facility context.
Reporting frequency Monthly

28
In-patient Department (IPD)_HTS

This data includes the number of tests conducted, new HIV-positive results, and Linkage for
Descriptions care and treatment. The data is collected from all In-patient Department (IPD) and aggregated
as one service delivery point (SDP) report.
To track the HIV testing service, and Linkage for care and treatment from In-patient
Purpose
department (IPD).
S. N Subgroups/Cascade How to collect
• Unit of collection:
1 Number Tested
− Hospital: collect from In-patient
department units: Medical Ward, Pediatrics
Ward, Gyn Ward, and other Wards.
− Health center: as applicable
• Data source: Admission Discharge Register.
2 Number Tested Positive
Data elements • Disaggregation:
− Sex: M/F
− Age: 1-4, 5-9, 10-14, 15-19, 20-24, 25-29,
30-34, 35-39, 40-44, 45-49, 50+.

Number Registered on the

3 − Disaggregation: ONLY by sex: M/F
Positive Tracking Register

Data Quality The cascade should be in the logical flow, and the Denominator ≥ Numerator.
The designated M&E officer, HIT, data clerk, or healthcare provider will collect data according
Who collect to their training and the relevance of their responsibilities within the health facility and regional
context.
Reporting frequency Monthly

29
Catchment Outreach Site_HTS

This data includes the number of tests conducted in the Health Facility Catchment Outreach
Site, new HIV-positive results, and Linkage for care and treatment. The data is collected from
Descriptions
all Health Facility Catchment Outreach Site Testing and aggregated as one Service Delivery Point
(SDP) report.
To track the HIV testing service, and Linkage for care and treatment from the Health Facility
Purpose
catchment Outreach Site Testing.
S. N Subgroups/Cascade How to collect
• Unit of collection: VCT/high-risk
1 Number Tested
populations clinic.
• Data source: VCT/High-risk
population register.
• Disaggregation:
2 Number Tested Positive − Sex: M/F
Data elements
− Age: <1, 1-4, 5-9, 10-14, 15-19,
20-24, 25-29, 30-34, 35-39, 40-
44, 45-49, 50+.

Number Registered on Positive Tracking − Disaggregation: ONLY by

3
Register sex: M/F

Data Quality The cascade should be in the logical flow, and the Denominator ≥ Numerator.
The designated M&E officer, HIT, data clerk, or healthcare provider will collect data according
Who collects to their training and the relevance of their responsibilities within the health facility and regional
context.
Reporting frequency Monthly

30
HIV Risk Screening Tool (HRST) Utilization

This data includes the number of patients seen, screened, eligible, tested, new HIV-positive results,
Descriptions and Linkage for care and treatment. The data is collected from all HRST-implementing OPDs and
aggregated as one Service Delivery Point (SDP) report.
To track the HIV testing service quality by implementing the HRST for all OPDs, plus saving
Purpose
resources.
S. N Subgroups/Cascade How to collect
1 Number seen at all OPDs
Number screened using the
2 • Unit of collection: All HRST-implementing
HRST
Number Eligible for HIV rooms
Data 3
Testing • Data source: HRST Log Book
elements
4 Number Tested • Disaggregation:
5 Number of HIV Positive − Sex: M/F
− Age: <15, ≥15
Number Registered on Positive
6
Tracking Register

Data Quality The cascade should be in the logical flow, and the Denominator ≥ Numerator.
The designated M&E officer, HIT, data clerk, or healthcare provider will collect data according to
Who collects their training and the relevance of their responsibilities within the health facility and regional
context.
Reporting frequency Monthly

31
Index Case Testing (ICT)_HTS
This data includes the number of offered, accepted, elicited, known HIV status (documented
negative for pediatrics and known HIV positive), unknown HIV status, tests conducted, new
Descriptions
HIV-positive results, and Linkage for care and treatment. The data is collected from both ART
and ANC clinics and aggregated as one Service Delivery Point (SDP) report.
To track the Index Cases testing service and Linkage for care and treatment from ART and
Purpose
ANC Clinics.
S. N Subgroups/Cascade How to collect

1 Number of index cases offered ICT service

• Unit of collection:
2 Number of index cases that were accepted − ART Clinic: Child, siblings,
3 Number of contacts elicited Parents of the Index Child,
Number of contacts elicited with known Partner.
3.1
status − ANC clinic: Child, Partner.
Number with documented Negatives − High-risk Population clinic:
3.1.1
(Pediatrics) partners
3.1.2 Number of known HIV positive • Data source: ICT Register
Number of contacts elicited with unknown • Disaggregation:
Data elements 3.2
status
− Sex: M/F
3.2.1 Number of contacts tested
• Age: 1-4, 5-9, 10-14, 15-19, 20-
3.2.2 Number of newly tested HIV positive
24, 25-29, 30-34, 35-39, 40-44,
Number Registered on Positive Tracking
3.2.3 45-49, 50+.
Register
4 Contacts • Contacts disaggregated by:
4.1 Number of Child o Elicited
4.2 Number of Siblings o Unknown status
4.3 Number of Parent of Index Child o Tested,
o Tested positive
4.4 Number of partners
o Sex/Age: N/A
Data Quality The cascade should be in the logical flow, and the Denominator ≥ Numerator.
The designated M&E officer, HIT, data clerk, or healthcare provider will collect data according
Who collect to their training and the relevance of their responsibilities within the health facility and regional
context.
Reporting frequency Monthly

32
Voluntary Counseling and Testing (VCT)_HTS

This data includes the number of tests conducted at the VCT room, new HIV-positive results, and
Descriptions Linkage to care and treatment. The data is collected from VCT and should be reported as one
Service Delivery Point (SDP) report.
Purpose To track the HIV testing service at the VCT room, and Linkage for care and treatment VCT room.
S. N Subgroups/Cascade How to collect

• Unit of collection: VCT room

1 Number Tested • Data source: VCT register
• Disaggregated by:
− Sex: M/F
Data
2 Number Tested Positive − Age: 1-4, 5-9, 10-14, 15-19, 20-24, 25-29,
elements
30-34, 35-39, 40-44, 45-49, 50+.

Number Registered on Positive

3 − Disaggregation: ONLY by sex: M/F
Tracking Register

Data Quality The cascade should be in the logical flow, and the Denominator ≥ Numerator.
The designated M&E officer, HIT, data clerk, or healthcare provider will collect data according to
Who collect their training and the relevance of their responsibilities within the health facility and regional
context.
Reporting frequency Monthly

33
 Tuberculosis (TB)_HTS
Descriptions This data includes the number of seen, known HIV status, recently negative, known HIV positives,
known HIV positive on ART, Unknown HIV status, tests conducted, new HIV-positive results, and
Linkage for care and treatment. The data is collected from the TB Clinic and should be reported as
one Service Delivery Point (SDP) report.
Purpose To track the TB patient's HIV testing service, linkage to care, and treatment from the TB Clinic.

Data S. N Subgroups/Cascade How to collect

elements 1 Number of clients seen at the TB Clinic • Unit of collection: TB unit
• Data source: TB Unit
2 Number of TB cases with known HIV Status
Register
2.1 Number with a recently HIV tested negative1 result • Disaggregation:
− Sex: M/F
2.2 Number of TB cases with known HIV positive status
− Age: 1-4, 5-9, 10-14, 15-
2.2.1 Number of known HIV positive clients newly started ART 19, 20-24, 25-29, 30-34,
35-39, 40-44, 45-49, 50+.
2.2.2 Number of known HIV-positive clients already on ART
− For S.N 2.2.1,2.2.2, and
3.4: 1-4, 5-9, 10-14, 15-
3 Number of TB cases with unknown HIV status
19, 20-24, 25-29, 30-34,
3.1. Number of TB cases newly tested for HIV 35-39, 40-44, 45-49, 50-
54, 55-59, 60-64, 65+.
3.2. Number of TB cases and new HIV positive

3.3 Number Registered on Positive Tracking Register − Disaggregation: ONLY

by sex: M/F

3.4 Number of newly initiated ART − As described above.

Data Quality
The cascade should be in the logical flow, and the Denominator ≥ Numerator.

Who collect The designated M&E officer, HIT, data clerk, or healthcare provider will collect data according to
their training and the relevance of their responsibilities within the health facility and regional context.
Reporting frequency Monthly

1Recently Tested Negative: Number of TB cases who recently tested HIV-negative within 6 weeks, or more according to the
country clinical guidelines, and are not eligible for another HIV test at the time of presentation in the TB clinic by national HTS
guidelines.

34
Sexually Transmitted Infection (STI)_HTS

This data includes the number of tests conducted in all STI integrated Service Delivery Points
(SDPs), new HIV-positive results, and Linkage for care and treatment. The data is collected
Descriptions
from all STI integrated Service Delivery Points (SDPs), and aggregated as one Service Delivery
Point (SDP) report.
To track the HIV testing service for STI cases, and Linkage for care and treatment from all
Purpose
STI integrated Service Delivery Points (SDPs).
S. N Subgroups/Cascade How to collect
• Unit of collection:
1 Number Tested
− Hospital: All OPDs & STI/Derma
Clinic
− Health Center: All OPDs & STI Clinic
• Data source: OPD Abstract Register
Data elements
2 Number Tested Positive • Disaggregation:
− Sex: M/F
− Age: 1-4, 5-9, 10-14, 15-19, 20-24, 25-29,
30-34, 35-39, 40-44, 45-49, 50+
Number Registered on Positive
3 − Disaggregation: ONLY by sex: M/F
Tracking Register
Data Quality The cascade should be in the logical flow, and the Denominator ≥ Numerator.
The designated M&E officer, HIT, data clerk, or healthcare provider will collect data according
Who collect to their training and the relevance of their responsibilities within the health facility and regional
context.
Reporting frequency Monthly

35
People at high-risk for HIV infection (PHRH)_HTS

Newly tested persons within each PHRH type for whom HIV testing is indicated because they
Descriptions do not know their HIV status or their last HIV-negative test was more than 3-6 months ago
(or more/less frequently as indicated by National Guidelines) and should be reported in HTS.
To track the HIV testing service for PHRH and Linkage for care and treatment from all
Purpose
PHRH integrated Service Delivery Points (SDPs).
S. N Subgroups/Cascade How to collect
• Unit of collection: PHRH clinic
1 Number Tested
& ART clinic.
• Data source: integrated PHRH
clinic register.
• Disaggregation:
Data elements
2 Number Tested Positive − Sex: M/F
− Age: 1-4, 5-9, 10-14, 15-19, 20-
24, 25-29, 30-34, 35-39, 40-44,
45-49, 50+
Number Registered on Positive Tracking − Disaggregation: ONLY by
3
Register sex: M/F
Data Quality The cascade should be in the logical flow, and the Denominator ≥ Numerator.
The designated M&E officer, HIT, data clerk, or healthcare provider will collect data according
Who collect to their training and the relevance of their responsibilities within the health facility and regional
context.
Reporting frequency Monthly

36
ANC1_HTS

Descriptions This data includes the number of seen, known HIV status, recently negative, known HIV
positives, known HIV positive on ART, Unknown HIV status, tests conducted, new HIV-
positive results, and Linkage for care and treatment. The data is collected from ANC. L&D
and PNC rooms should be reported as a separate Service Delivery Point (SDP) report.
Purpose To track the PMTCT Clients' HIV testing service and the Linkage for care and treatment
from ANC.
S. N Subgroups/Cascade How to collect

1 Number of clients seen at ANC1 only • Unit of collection: ANC

clinic
2 Number with known HIV Status
• Data source: ANC register
2.1 Number with recent HIV-negative results • Disaggregation:
− Sex: N/A
2.2 Number with known HIV-positive status
− Age: 10-14, 15-19, 20-
2.2.1 Number of known HIV-positive patients newly 24, 25-29, 30-34, 35-39,
started on ART 40-44, 45-49, 50+.
− For S.N: 2.2.1, 2.2.2,
2.2.2 Known HIV-positive already on ART
3.4: 10-14, 15-19, 20-
3 Number of clients with unknown HIV status 24, 25-29, 30-34, 35-39,
40-44, 45-49, 50-54, 55-
3.1. Number of clients newly tested for HIV
59, 60-64, 65+.
3.2. Number of clients with tested HIV-positive

3.3 Number registered on the Positive Tracking − Disaggregation: N/A

Register

3.4 Number of newly initiated ART − Described above

Data Quality The cascade should be in the logical flow, and the Denominator ≥ Numerator.
Who collect The designated M&E officer, HIT, data clerk, or healthcare provider will collect data
according to their training and the relevance of their responsibilities within the health facility
and regional context.
Reporting frequency Monthly

37
Post ANC1: Pregnant/Labor_HTS

Descriptions Number of pregnant/Laboring women tested for HIV post ANC1 (exclude ANC)
Purpose To track the PMTCT Clients' HIV testing service and the Linkage for care and treatment.
S. N Subgroups/Cascade How to collect
1 Number Tested • Unit of collection: ANC and L&D
clinic
• Data source: ANC and L&D register
• Disaggregation:
2 Number Tested Positive
Data elements
− Sex: N/A
− Age: 10-14, 15-19, 20-24, 25-29,
30-34, 35-39, 40-44, 45-49, 50+

Number Registered on the Positive

3 − Disaggregation: N/A
Tracking Register

Data Quality The cascade should be in the logical flow, and the Denominator ≥ Numerator.
The designated M&E officer, HIT, data clerk, or healthcare provider will collect data according
Who collect to their training and the relevance of their responsibilities within the health facility and regional
context.
Reporting frequency Monthly

38
Post ANC1: Breastfeeding/PNC_HTS

Descriptions Number of lactating women tested for HIV at PNC

Purpose To track the PMTCT Clients' HIV testing service and Linkage for care and treatment
S. N Subgroups/Cascade How to collect
1 Number Tested • Unit of collection: PNC clinic
• Data source: PNC register
• Disaggregation:
− Sex: N/A
2 Number Tested Positive
Data elements
− Age: 10-14, 15-19, 20-24, 25-
29, 30-34, 35-39, 40-44, 45-49,
50+.

Number Registered on the Positive Tracking

3 − Disaggregation: N/A
Register

Data Quality The cascade should be in the logical flow, and the Denominator ≥ Numerator.
The designated M&E officer, HIT, data clerk, or healthcare provider will collect data according
Who collect to their training and the relevance of their responsibilities within the health facility and regional
context.
Reporting frequency Monthly

39
Partner of ANC/L&D/PNC_HTS

Descriptions Number of partners of women in PMTCT tested for HIV

To track partner testing of HIV at ANC, L&D, and PNC, and ensure linkage and treatment
Purpose
service.
S. N Subgroups/Cascade How to collect
1 Number Tested • Unit of collection: ANC, L&D, and
PNC clinic
• Data source: ANC, L&D, and PNC
register.

Data elements 2 Number Tested Positive • Disaggregation:

− Sex: N/A
− Age: 10-14, 15-19, 20-24, 25-29,
30-34, 35-39, 40-44, 45-49, 50+

Number Registered on Positive Tracking

3 − Disaggregation: N/A
Register

Data Quality The cascade should be in the logical flow, and the Denominator ≥ Numerator.
The designated M&E officer, HIT, data clerk, or healthcare provider will collect data according to
Who collect their training and the relevance of their responsibilities within the health facility and regional
context.
Reporting frequency Monthly

40
Early Infant Diagnosis (EID)_HTS

This data includes the number of HIV exposed infants recorded on the PMTCT Cohort
Descriptions Register by various parameters like DBS sample collected, ARV, CPT, second or more test. The
data is collected from the PMTCT Cohort Register.
Purpose Measures the PMTCT service performance of the HFs to prevent mother-to-child transmission.
S. N Subgroups/Cascade How to collect
Number of HIV exposed infants enrolled in
1 follow-up care during the month, whose age is
≤12 Months
1.1 Number Enrolled by 2 months of age
Number Enrolled between 2 and 12 months of
1.2
age
2 Number initiated on CPT • Unit of collection: PMTCT
2.1 Number initiated on CPT by 2 months of age clinic
Data elements Number tested (Sample collected) by PCR/DBS, • Data source: EID Log Book
3
whose age is ≤12 Months • Disaggregation:
3.1 First Test (Sample Collected) − Sex: N/A
3.1.1 Number tested by PCR/DBS by 2 months of age − Age: N/A
Number tested by PCR/DBS between 2 & 12
3.1.2
months
3.2. Second test or more (Sample collected)
3.2.1 Number tested by PCR/DBS by 2 months of age
Number tested by PCR/DBS between 2 & 12
3.2.2
months
Data Quality The cascade should be in the logical flow, and the Denominator ≥ Numerator.
The designated M&E officer, HIT, data clerk, or healthcare provider will collect data according
Who collect to their training and the relevance of their responsibilities within the health facility and regional
context.
Reporting frequency Monthly

41
HIV Exposed Infant (HEI)_HTS

Number of HIV-exposed infants, with a virologic HIV test result returned in the reporting period,
Descriptions
whose diagnostic sample was collected by 12 months of age.
To effectively track and manage the health outcomes of infants born to HIV-positive mothers. This
process involves identifying the number of HIV-exposed infants, their test outcomes (positive or
negative), and their age at the time of sample collection. By monitoring these factors, healthcare
providers can ensure that HIV-positive infants are promptly linked to antiretroviral therapy (ART),
which is crucial for their health and survival. Additionally, this data helps evaluate the performance
Purpose
of prevention of mother-to-child transmission (PMTCT) programs, highlighting areas of success and
identifying potential challenges in documentation, linkage, and treatment initiation. Accurate and
timely reporting of test results and ART initiation is essential for improving the overall effectiveness
of PMTCT programs and making informed decisions to enhance the health outcomes of HIV-
exposed infants.
S.
Subgroups/Cascade How to collect
N
1 Number of PCR/DBS test results returned
1.1 Number Tested HIV+ < 2 months of birth
• Unit of collection: PMTCT and
1.2 Number Tested HIV+ 2 to 12 months of birth
ART clinic
Data 1.3 Number tested HIV Negative < 2 months of birth
• Data source: EID Log Book
elements Number tested HIV Negative 2 to 12 months of
1.4 • Disaggregation:
birth
− Sex: N/A
Total Number of PCR/DBS-positive Infants
2 − Age: N/A
Initiated on ART
2.1 < 2 months of age
2,2 2-12 months of age
Data Quality The cascade should be in the logical flow, and the Denominator ≥ Numerator.
The designated M&E officer, HIT, data clerk, or healthcare provider will collect data according to
Who collect their training and the relevance of their responsibilities within the health facility and regional
context.
Reporting frequency Monthly

42
Final Outcome (FO)_HTS

This data includes the number of HIV exposed infants recorded on the PMTCT Cohort Register
Descriptions by final outcome parameters like DBS results, death, TO, etc. The data is collected from the
PMTCT cohort Register.
Purpose Measures the PMTCT service performance of the HFs to know the PMTCT service quality.
S. N Subgroups/Cascade How to collect
Number of HIV-exposed infants who were born 24
1 months before the reporting period and registered in the
birth cohort.
Number of HIV-exposed infants with a documented • Unit of collection:
2
outcome (Numerator) PMTCT clinic
2.1 Number of DNA/PCR tested positive • Data source: PMTCT
2.2 Number of Rapid HIV antibody tested positive Cohort Register,
Data elements
2.3 Number Rapid HIV antibody tested Negative EMR_PMTCT_EID
2.4 Number in care but no test done • Disaggregation:
2.5 Number Lost to follow-up − Sex: N/A
Number of Exposed infants who are documented to have − Age: N/A
2.6
died without confirmation of HIV infection (Died)
Number of HIV-exposed infants who transferred out
2.7
without confirmation of HIV-infection (TO)
2.8 Number of HIV-final status unknown
Data Quality The cascade should be in the logical flow, and the Denominator ≥ Numerator.
The designated M&E officer, HIT, data clerk, or healthcare provider will collect data according to
Who collect their training and the relevance of their responsibilities within the health facility and regional
context.
Reporting Template Monthly

43
HIV Self Testing_HTS

Descriptions Number of individual HIV self-test kits distributed.

To track trends at the lowest distribution points. This information helps HIV self-testing programs
improve access and uptake of testing services, particularly for populations with low test uptake and
Purpose
high undiagnosed HIV rates (e.g., men, adolescents, high-risk populations, and children). The data
focuses on the number of kits distributed, NOT the number of individuals receiving them.
S. N Subgroups/Cascade How to collect
Number of HIV self-test kits − Disaggregated by:
1
distributed o Sex: M/F
1.1 Assisted o Age: 2-4, 5-9, 10-14, 15-19, 20-24, 25-
1.2 Un assisted 29, 30-34, 35-39, 40-44, 45-49, 50+.
2 HIV Testing Data Element • Unit of collection: OPD, ART, PMTCT,
2.1 Number of test kits distributed High-risk population & STI Clinic.
2.2 Number Tested with HIVST • Data source: HIV Self-Test Register
2.3 Number HIVST Tested Reactive • Disaggregation:
Data 2.4 Number HIVST Linked − Directly assisted: WECSW and other
elements Number of HIVST Confirmed High-risk populations
2.5
Positive Unassisted: WECSW, ANC partner, STI partner,
2.6 Number of ART Initiated Other High-risk populations, ICT by caregiver
(Pedi), & Adult.
Number of unassisted HIVST
3
kits distributed:
3.1 Self
− Disaggregation: N/A
3.2 Sex partner
3.3 Care Giver
3.4 Other
Data quality The cascade should be in the logical flow, and the Denominator ≥ Numerator.
The designated M&E officer, HIT, data clerk, or healthcare provider will collect data according to
Who collects their training and the relevance of their responsibilities within the health facility and regional
context.
Reporting frequency Monthly

44
Social Networking Service (SNS)_HTS

Number of Coupons distributed, network members eligible for SNS test, number tested,
Descriptions
and their results, including linkage for Confirmed HIV positive.
Monitor trends in the distribution of coupons, HIV screening, confirmatory tests, and
Purpose
linkage to better reach the target population.
S. N Subgroups/Cascade How to collect
1 Number Tested

• Unit of collection: PHRH clinic

• Data source: SNS Registers
• Disaggregation:
Data elements 2 Number Tested Positive
− Sex: M/F
− Age: 1-4, 5-9, 10-14, 15-19, 20-24, 25-
29, 30-34, 35-39, 40-44, 45-49, 50+

Number Registered on Positive

3 − Disaggregation: ONLY by sex: M/F
Tracking Register
Data Quality The cascade should be in the logical flow, and the Denominator ≥ Numerator.
The designated M&E officer, HIT, data clerk, or healthcare provider will collect data
Who collects according to their training and the relevance of their responsibilities within the health
facility and regional context.
Reporting frequency Monthly

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Weekly PTQIT report
Descriptions Weekly three 95 report
Purpose To track the performance of the three 95 and HRST utilization, and ICT.
Data element S. N Subgroups/Cascade How to collect
1 HRST Utilization
1.1 Number Seen at ALL OPDs Uni of collection: All HRST
1.2 Number screened using HRST implementing SDPs
Data source: HRST logbook
1.3 Number Eligible for HIV testing
Disaggregation:
1.4 Number Tested
Sex: N/A
1.5 Number Positive
Age: <15, ≥15
1.6 Number Initiated on ART

2 ICT
2.1 Number Offered with ICT Service Uni of collection: ART,
2.2 Number Accepted ICT Service PMTCT, and High-risk
population clinic
2.3 Number Elicited (Number of contacts listed for
Data source: ICT register
ICT services)
Disaggregation:
2.4 Number with known HIV status
Sex: N/A
2.5 Number Tested
Age: <15, ≥15
2.6 Number Positive
2.7 Number Initiated on ART
3 First and Second 95
3.1 Number Tested in all SDPs Uni of collection: All SDPs
3.2 Number tested positive from ALL SDPs Data source: ALL SDPs HTS
3.3 Number Linked (All recorded clients on positive register and PTR.
tracking register) Disaggregation:
3.3.1 Number Linked from same facility Sex: N/A
3.3.2 Number referred in from another health facility Age: <15, ≥15
3.3.3 Number Referred out/ (Confirmed Referral)
3.3.4 Number Known +Ve on Rx (Repeat tester)
3.3.5 Number Declined to Initiate Rx
3.3.6 Number On Adherence Preparation

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 3.3.7 Number OI Management
3.3.8 Number Died
Number Started ART (Positive and initiated
3.3.9
within reporting period)
3.3.9.1 Number Same day ART Initiation
Number Known +Ve before reporting period &
3.4
started ART
4 Third 95
4.1 Number of VL test samples collected and sent Uni of collection: ART,
4.2 Number of Viral Load Results Received PMTCT, and High-risk
Number of patients with suppressed viral load population clinic
4.2.1
(<50 copies/ml) Data source: EMR-ART, EMR-
Number of patients with suppressed viral load PMTCT, VL register
4.2.2
(50 - 1000 copies/ml) Disaggregation:
Number of individuals with high VL test result Sex: N/A
4.2.3
(>1000 copies/ml) Age: <15, ≥15
Data Quality The cascade should be in the logical flow, and the Denominator ≥ Numerator.
The designated M&E officer, HIT, data clerk, or healthcare provider will collect data according
Who collects to their training and the relevance of their responsibilities within the health facility and regional
context.
Reporting frequency Weekly

47
HIV CARE & TREATMENT INDICATORS

1. MHI – Mental Health Illness (screening or treatment among HIV patients)

2. TB_LFLAM – TB diagnosis using Lateral Flow Lipoarabinomannan assay (LF-LAM),

3. NCD – Non-Communicable Diseases

4. CCM – Cryptococcal Meningitis

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Positive Tracking Register (PTR)

This data includes the number of HIV positives recorded on the HIV tracking Register by various
Descriptions parameters like new HIV-positive results, known/repeat testers, ART initiations, and reasons for
not initiating ART for TB patients. The data is collected from PTR.
Measures the performance of the HFs on managing all HIV positives under their care and know
Purpose
the gaps to act timely.
S. N Subgroups/Cascade How to collect
1 Number recorded on positive tracking register
(Linked to Care)
1.1 Number Repeat tester with Known +ve status
• Unit of collection: ART and
1.1.1 Number Known +Ve on Rx (Repeat Tester)
PMTCT clinic
1.2 Number of HIV +ve in the reporting month &
• Data source: HIV Positive
initiated ART
Tracking Register.
1.2.1 Number Same day ART Initiation
• Disaggregation:
Data elements 1.2.2 Number Initiated within Two to Seven days
− Sex: M/F
1.2.3 Number Referred out to other HF (Confirmed
− Age: N/A
Referral)
❖ Same-day ART initiation
1.2.4 Number Declined to Initiate Rx
means that the patient’s ART
1.2.5 Number On Adherence Preparation
start date is the same as the date
1.2.6 Number OI Management
of diagnosis.
1.2.7 Number Died (Before ART initiation)
2 Tested positive before reporting month, but
initiated ART during the reporting month
Data Quality The cascade should follow a logical flow, with the Denominator ≥ Numerator.
The designated M&E officer, HIT, data clerk, or healthcare provider will collect data according to
Who collect their training and the relevance of their responsibilities within the health facility and regional
context.
Reporting frequency Monthly

49
TB Screening, Diagnosis, and Treatment

Number of People living with HIV screened for TB disease using nationally recommended
Descriptions
methods.
To enhance TB case detection and reduce TB-related mortality among people living with HIV
Purpose
(PLHIV).
S. N Subgroups/Cascade How to collect
1 Number Screened for TB
1.1 Symptom Screen (alone)
1.2 CXR
2 Number Presumptive TB • Unit of collection:
2.1 Symptom Screen (alone) − Hospital: ART, PMTCT clinic,
2.2 CXR Inpatient department.
3 Number Eligible for LF-LAM Other Than − Health Center: ART & PMTCT
Data elements Presumptive TB (By CD4) clinic.
4 Number LF LAM Tested • Data sources: AHD Register, EMR,
5 Number LF LAM positive and Lab Register
6 Number Tested mWRD (GeneXpert) • Disaggregation:
7 Number tested positive with mWRD − Sex: M/F
(GeneXpert) − Age: <15, ≥15
8 Number Tested Positive with both LF-
LAM and mWRD (GeneXpert)
9 Number of initiated TB treatments
Data quality The cascade should be in the logical flow, and the Denominator ≥ Numerator.
The designated M&E officer, HIT, data clerk, or healthcare provider will collect data according
Who collect to their training and the relevance of their responsibilities within the health facility and regional
context.
Reporting frequency Monthly

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Mental Health Illness (MHI)

Descriptions Number of PLHIV diagnosed and managed for MHI during the reporting period

Monitoring mental health illnesses (MHI) in individuals living with HIV aims to identify and
address psychiatric symptoms that hinder adherence to antiretroviral treatments (ART). It seeks to
improve the recognition and treatment of co-morbid psychiatric conditions, thereby enhancing
Purpose
ART adherence and patient outcomes. By tracking the prevalence and impact of mental health
disorders among HIV-infected individuals, the monitoring process evaluates the effectiveness of
integrated mental health services within HIV care settings
S. N Subgroups/Cascade How to collect

1 Total seen at the Facility • Unit of collection: ART,

2 Screened by ACMs for MH conditions PMTCT, PHRH Clinic.

3 Identified for MH conditions by ACMs • Data source: MHI Register,

4 Referred / Linked to MHI-trained provider. PHRH integrated register, PTR,

5 Feedback received from ART clinicians EMR-ART/PMTCT.

6 Confirmed the diagnosis for MH conditions from • Disaggregation:

the ART clinic − Age: N/A

7 Referred to the psychiatry unit from the ART clinic − Sex: M/F
Data
8 Number of confirmed MHDs by type − On ART clients:
elements
8.1 Depression TX_NEW, HVL, restarted,
8.2 Suicidal ideation Poor adherence, and others.
8.3 Anxiety − Treatment non-initiated
8.4 Mania HIV+ clients: Declined to
8.5 Substance use disorder initiate ART, > 2 weeks to
8.6 Psychosis initiate ART, AHD, and
8.7 Dementia Others.
8.8 Epilepsy − Disaggregation is N/A for
8.9 Other mental Health problems S.N 8.1 to 8.9.
Data quality The cascade should be in the logical flow, and the Denominator ≥ Numerator.
The designated M&E officer, HIT, data clerk, or healthcare provider will collect data according to
Who collect their training and the relevance of their responsibilities within the health facility and regional
context.
Reporting frequency Monthly

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Cryptococcal Meningitis (CCM)

Descriptions Cryptococcal meningitis diagnosis and management

Reporting and monitoring data on cryptococcal meningitis testing, diagnosis, and treatment is
essential to reduce mortality rates by addressing delays in presentation and treatment. It aims to
improve the availability and affordability of treatments in resource-limited settings and develop
Purpose
standardized guidelines tailored to these environments. Tracking the prevalence of Cryptococcus
neoformans infections among HIV-infected patients and monitoring clinical presentations and
outcomes enhances the understanding and management of the disease.
S. N Subgroups/Cascade How to collect
1 Number of Blood CrAg tests done
1.1 Number of Blood CrAg positive
1.1.1 Number of PLHIV with signs and symptoms of CM
1.1.1.1 Number of Blood CrAg positive with sign and • Unit of collection: ART,
symptom referred (For HC only) PMTCT clinic, IPD.
1.1.2 Number initiated fluconazole pre-emptive/primary • Data source: AHD register
Data elements therapy. and EMR.
1.2 Number CSF CrAg test performed (for Hospital • Disaggregation:
only). − Sex: M/F
1.2.1 Number CSF CrAg Positive (for Hospital only)
− Age: 10-14, 15+
1.2.2 Number initiated treatment on CM (for Hospital
only).
1.2.3 Number improved after induction phase CM
treatment (for Hospital only).
Data quality The cascade should be in the logical flow, and the Denominator ≥ Numerator.
The designated M&E officer, HIT, data clerk, or healthcare provider will collect data according to
Who collect their training and the relevance of their responsibilities within the health facility and regional
context.
Reporting frequency Monthly

52
Non-communicable Disease (NCD)

Number of Non-Communicable Diseases (NCD), Hypertension (HTN), and Diabetic

Descriptions
Mellitus (DM) Screening, monitoring, and managing done.
Monitoring and reporting data on non-communicable diseases (NCDs) among people living
with HIV is essential for early detection and timely intervention, which helps prevent
complications and improve patient outcomes. Integrating NCD management into chronic
HIV care ensures comprehensive care by addressing co-morbidities such as diabetes and
Purpose cardiovascular illnesses. This approach includes screening, dietary counseling, smoking
cessation, exercise promotion, and monitoring blood pressure and cholesterol levels.
Following a national package of essential NCD interventions, standardized care, and
informed resource allocation, ultimately enhancing the quality of life and longevity for people
living with HIV.
S. N Subgroups/Cascade
1 Number of PLHIV currently on ART (Tx_CURR) in the month
2 Number of PLHIV who visited the ART clinic in the reporting month
3 Hypertension
Number of adult PLHIV >18 years of age screened for Hypertension in the
3.1
month.
3.1.1 Number of total PLHIV diagnosed for HTN (new and previously diagnosed)
3.1.1.1 Number of total PLHIV newly diagnosed for HTN
3.1.1.2 Number of PLHIV previously diagnosed for HTN
3.1.2 Treatment for HTN
Data elements 3.1.2.1 Number of PLHIV on treatment for HTN
3.2 Number of PLHIV with diagnosis of HTN who have 6-month follow-up visit
3.2.1 Number of total PLHIV with controlled HTN status (at 6 Month)
3.3 Number of PLHIV with diagnosis of HTN who have 12 month follow up visit
3.3.1 Number of total PLHIV with controlled HTN status (at 12 Month)
4 Diabetes mellitus (DM)
4.1 Number of PLHIV screened for DM.
4.2 Number of PLHIV newly diagnosed with DM
4.3 Number of PLHIV on treatment for DM (new and previously diagnosed)
4.3.1 Number of PLHIV on treatment for DM (new diagnosed)
4.3.2 Number of PLHIV on treatment for DM (Previously diagnosed)

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 4.4 Number of PLHIV with diagnosis of DM who have 6 month follow up visit
4.4.1 Number of PLHIV with controlled DM (at 6 Month)
4.5 # Of PLHIV with diagnosis of DM who have 12 month follow up visit
4.5.1 Number of PLHIV with controlled DM (at 12 Month)
5 Number of PLHIV with NCD (difficult/complicated cases) referred to NCD
clinic or other HF for care/treatment
• Units of collection: ART, PMTCT, and NCD Clinics
• Data source: NCD integration Register, EMR.
• Disaggregation:
How to collect
− Sex: M/F
− Age for HTN: ≥18
− Age for DM: <18, ≥18
Data quality The cascade should be in the logical flow, and the Denominator ≥ Numerator.
The designated M&E officer, HIT, data clerk, or healthcare provider will collect data
Who collect according to their training and the relevance of their responsibilities within the health
facility and regional context.
Reporting frequency Monthly

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REFERENCES

1. National consolidated guidelines for comprehensive HIV prevention, care, and treatment of
Ethiopia, 2022.
2. Monitoring, Evaluation, and Reporting Indicator Reference Guide MER 2.0, Version 2.8.2, 2025
3. National DHIS2 indicator reference and data quality guidance, 2018.

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ANNEX

H-PTQIT reporting template

H-PTQIT Program
Monitoring indicators Jul 032025.xlsx

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