Number/percent of clients who received a referral from an HIV service delivery point to a family planning clinic

Definition:

The percent of individuals of reproductive age (i.e., 15–49 for women; 15–54 for men) who were clients at an HIV service delivery point (SDP) and received a referral for an FP method (e.g., condoms, pills, injectables).

A referral occurs if the client is advised where he or she can go to find their preferred or recommended FP method not provided at the site, and the referral is documented at the referral source as proof that a referral was made.

As a percent, this indicator is calculated as:

(Number of clients of of reproductive age [i.e., 15–49 for women; 15–54 for men] who received a referral from an HIV SDP to a FP clinic, for FP methods that were not available on-site) / (Total number of clients of reproductive age served at the HIV SDP during the reporting period) x 100

Data Requirement(s):

The number of clients of reproductive age served at an HIV SDP during a given period (e.g., annually) as well as the confirmation of how many were referred for an FP method.

Data can be disaggregated by:

HIV service platforms, such as counseling and testing, care and treatment, prevention of mother-to-child transmission of HIV (PMTCT), key populations, and DREAMS
Non-HIV focused service delivery platforms (e.g., FP-integrated school, community, or facility health programs) that are supported by PEPFAR
Type of SDP (e.g., mobile service unit, hospital, or health center)
Type of referral provided
Sex/age (male: <15, 15–19, 20–24, 25+; female: <15, 15–19, 20–24, 25+)
Rural/urban location

Data Source(s):

Service delivery statistics

Purpose:

The focus of this indicator is to monitor FP service delivery. This indicator aims to measure FP service integration, by providing information on the number of referrals for FP services issued to male and female clients at HIV SDPs.

For more information on this indicator, see “Monitoring the Integration of Family Planning and HIV Services: A Manual to Support the Use of Indicators to Measure Progress toward PEPFAR’s 90-90-90 Targets and Protect Women’s Reproductive Rights” (MEASURE Evaluation, 2016).

Issue(s):

This indicator similarly assumes that screening for FP need and FP counseling have occurred prior to referral and faces similar challenges in accurately measuring FP service provision, owing to the poor recording of FP information for HIV SDPs.

Tracking referrals remains a challenge in many countries and following up on individuals from the HIV SDPs who complete referrals at FP clinics may be difficult until coordination between services improves and linkages are strengthened.

Keywords:
family planning, HIV/AIDS

Filed under: Family Planning, FP, FP/RH, HIV, HIV/AIDS, Indicators, Reproductive Health, RH