Table 4 Core indicators proposed for the assessment of the quality of HIV/AIDS clinical care

A. Baseline evaluation

1

CD4 cell count measurement

2

Appropriate viral load test timing

4

Complete blood count

6

Proportion of patients with CD4 count greater than 200 cells/ul

B. Screening

20

Cervical cancer screening (basis and follow up)

21

Hepatitis C screening (basis and follow up)

22

Hepatitis B testing ever (basis and follow up)

23

Tuberculosis screening

24

Gonorrhea/chlamydia screening (at least once)

25

Syphilis screening (annually)

27

High-risk sexual behavior screening (annually)

28

Papanicolau test in last year (for women only)

C. Immunization

31

Hepatitis B vaccination first dose received (if appropriate)

34

PCP (pneumocystis jiroveci pneumonia) prophylaxis

E. HIV Monitoring

38

Non-detectable HIV viral load at 48 treatment weeks

43

Proportion of patients with previous ARV regimen change for whom reason for change in regime is documented

44

Proportion of patients on ARV with at least 95% (good) reported adherence on last visit

47

proportion of patients with continued care

49

HIV counseling and test offered

F. Therapy

54

Appropriately prescribed ART

55

Proportion of patients on cotrimoxazole prophylaxis with at least 95% reported adherence on last visit

60

Proportion of HIV-positive clients given treatment for latent TB infection

62

Percent of HIV-positive patients in HIV care or treatment (pre-ART or ART) who started TB treatment