Consolidated Hiv Strategic Information Guidelines

These consolidated guidelines are aimed at supporting the generation of responsive person-centred data from routine national health management information systems across the HIV cascade, from prevention, testing and treatment to longer-term health care. They build upon the 2017 Consolidated guidelines on person-centred HIV patient monitoring and case surveillance, which describe information that should be collected in primary HIV patient monitoring tools, and the 2020 Consolidated HIV strategic information guidelines, which cover aggregate indicators for managing and monitoring programmes. The purpose of this guideline consolidation is to provide the recommended data elements, indicators and guidance on data systems and their use across the spectrum of health sector HIV services in one place. This document focuses on strengthening the analysis and use of routine data at each stage of the cascade and emphasizes?/addresses? person-centred HIV prevention, testing and treatment, integration of HIV-related infections, the use of routine surveillance data to measure impact, and the development and use of digital health data systems and their governance. It also identifies the gaps and limitations in these data, and the need for strengthening the use of data in all HIV-related strategic information, including population-based surveys, modelling, community-led monitoring and other sources.

The new Consolidated guidelines on person-centred HIV strategic information: strengthening routine data for impact 1 aim to help countries improve how routine patient data are collected, analysed and used. They propose a minimum dataset that captures key events in an individual’s interaction with the health system, put forward priority indicators for monitoring a person’s health, and make key recommendations for data systems and data use. This policy brief summarizes the WHO guidance on digital health data in HIV services. The guidance covers several areas that are acutely important for transitioning from paper-based to digital systems while improving patient outcomes: interoperability, unique identifiers (UIDs) and privacy, security and data access and control.

"This guidance consolidates, prioritizes and describes key indicators to monitor the national and global response of the health sector to HIV. Its goal is to help countries choose, collect and systematically analyse strategic information to guide the health sector response to HIV. The aim of consolidation is to ensure that all indicators are in one place, are prioritized and linked in a result chain, and can be used to support quality care along the health sector cascade of HIV services. Since its beginning in the late 1980s, the global response to HIV has placed a high priority on strategic information to improve programmes. Perhaps no other area of public health has developed such a comprehensive set of indicators, methods and tools to collect, analyse, apply and disseminate information. By bringing together indicators and prioritizing them, this consolidated guide seeks to help programmes to: 1. select and prioritize the indicators most relevant to national and global reporting; 2. consolidate measurements along the cascade of prevention, care and treatment; 3. link services to their outcomes to better assess coverage, quality and impact; 4. strengthen analysis, disaggregation and use of data to improve linkages and identify bottlenecks and priorities along the cascade; 5. align reporting across programmes (for example, of testing, treatment and care) and to global reporting for simpler, better coordination; 6. simplify global monitoring with 10 indicators that track the health sector cascade of prevention, diagnosis, treatment and care and reflect progress toward the 90-90-90 target; 7. provide consolidated support for country data systems and analysis aligned with the post- 2015 development agenda."--Page 22

Sexually transmitted infections (STIs), viral hepatitis and cervical cancer are important concerns for any country implementing HIV programmes because of their shared modes of transmission, their contribution to the risk of acquiring HIV and their substantial burden. Interventions to prevent, diagnose and treat these infections are often delivered through services integrated with or closely linked to HIV services. Collecting data on the diagnosis and treatment of related infections will help strengthen the provision of HIV prevention and treatment services and improve the health of people living with HIV and those at risk of HIV infection. Incorporating individual-level data on HIV-related infections into HIV surveillance is a new area covered in the 2022 World Health Organization Consolidated guidelines on person-centred HIV strategic information: strengthening routine data for impact and is summarized in this policy brief.