Table 1 Tracer indicators of the Integrated HIV/TB/STI Evaluation Tool and 2006 audit results
Domain | Â | Tracer indicator | Result (%) |
|---|---|---|---|
Access | General | Facilities that routinely defer clients | 50 |
| Â | Â | Facilities that routinely defer that have an appointment system | 38 |
| Â | HIV | Facilities HIV care offered daily | 94 |
| Â | TB | Facilities with triage to prioritise chronic cough | 63 |
| Â | STI | Facilities syndromic management of STIs offered daily | 100 |
| Â | Â | Facilities with triage to prioritise STI's | 44 |
Availability and Capacity | VCT | Lay counsellors trained in VCT counselling | 98 |
| Â | Â | Clinical staff trained in VCT counselling | 30 |
| Â | Â | Rooms equipped for quality counselling (private and stocked with dildos, condoms, IEC material) | 45 |
| Â | HIV | Clinical staff trained in HIV/AIDS | 40 |
| Â | STI | Clinical staff trained in Syndromic Mx | 42 |
| Â | Â | Consulting rooms used to treat STI | 42 |
| Â | Â | STI rooms fully equipped | 12 |
| Â | TB | Facilities with mechanism for recall of sputum positive clients | 88 |
| Â | Â | Facilities with a dedicated TB nurse | 100 |
Quality | VCT | Clients: Counselling forms used | 90 |
| Â | Â | Clients: Consent for HIV test taken | 91 |
| Â | Â | Clients: Safer sex was discussed | 80 |
| Â | Â | Clients: Condoms were distributed | 52 |
| Â | Â | Clients: Disclosure was discussed | 70 |
| Â | HIV | Clients: CD4 count done | 81 |
| Â | Â | Clients: WHO staged | 57 |
| Â | Â | Clients who are stage 4 OR CD4 < 200 who are referred for ARV treatment | 68 |
| Â | STI | Clients: Specific STI diagnosis made | 81 |
| Â | Â | Clients: Correct drug regime used | 81 |
| Â | Â | Clients: Clients offered condoms | 71 |
| Â | Â | Clients: Clients given contact slips | 71 |
| Â | Â | Clients: RPR done | 84 |
| Â | TB | Clients: Contact details complete | 78 |
| Â | Â | Clients: Patient category is correct | 96 |
| Â | Â | Clients: Sputum results adequately entered | 81 |
| Â | Â | Clients: Patient is placed on the correct regimen | 95 |
| Â | Â | Clients: Child contacts < 5yr assessed | 35 |
Continuity | VCT | Positive clients attended for on-going counselling | 24 |
| Â | Â | Positive clients attended for medical assessment | 66 |
| Â | HIV | Future management plan noted at last visit | 61 |
| Â | TB | New Smear Positive Interrupter rates | 21 |
| Â | STI | RPR results recorded in folder and acted on | 84 |
Integration | VCT | Clients: Contraception discussed | 34 |
| Â | Â | Clients: Screened for TB | 70 |
| Â | Â | Clients: Screened for STI | 68 |
| Â | HIV | Clients: Contraception discussed | 49 |
| Â | Â | Clients: Screened for TB at every visit | 51 |
| Â | Â | Clients: Screened for STI every visit | 79 |
| Â | Â | Female clients: PAP done | 39 |
| Â | STI | Clients: Contraception discussed | 55 |
| Â | Â | Clients: offered VCT | 71 |
| Â | TB | Women: Contraception assessed | 52 |
| Â | Â | Clients: VCT offered | 94 |
| Â | Â | HIV + Clients prescribed bactrim | 77 |
| Â | Â | HIV + Clients: CD4 count done | 65 |