Implementing Comprehensive HIV/STI Programmes with Sex Workers Implementing Comprehensive HIV/STI Programmes with | Page 92

3 Community-led Services

Table 3.2 Community-level monitoring data
Indicator

Definition

Data

Community
outreach worker
ratio

Proportion of
community
outreach
workers to
mapped sex
workers

Numerator: total number of
community outreach workers

Outreach
coverage

Proportion
of mapped
sex workers
reached through
one-to-one
outreach
monthly

Numerator: total number
of one-to-one contacts by
community outreach workers
in a month

Mean number
of condoms
distributed by
community
outreach
workers and
staff outreach
workers per sex
worker monthly

Numerator: total number
of condoms distributed by
community outreach workers
and staff outreach workers in
a month

Proportion of
sex workers
who have ever
attended:

Numerator: number of sex
workers who have visited the
clinic at least once

Condom
distribution
through
outreach

STI and
voluntary HTC
coverage

1. STI clinic

Denominator: total number of
mapped sex workers

Denominator: total number of
mapped sex workers

Proportion of
sex workers
receiving:
1. Routine STI
check-ups
(i.e. quarterly)
2. Routine (sixmonthly) HIV
testing

Analyse by local areas and
by gender as outreach to
urban, rural, male, female and
transgender sex workers may
require different ratios. Use
to monitor whether sufficient
community outreach workers
are in place and what are the
best ratios.
Analyse by geographic
area to determine whether
geographic prioritization of
risk and vulnerability is taking
place.

Analyse by geographic area
and by community/staff
outreach workers. Trends may
be helpful to highlight supply
problems.

Denominator: total number of
mapped sex workers

Denominator: total number of
mapped sex workers

2. HTC clinic
STI and
voluntary HTC
demand

Use

Numerator: number of sex
workers:
1. Receiving STI consultations
during the quarter (or
according to current
programme standards)

This is a crude estimate that
gauges basic access and is
useful to analyse by gender,
local area and different sex
work settings, to consider
different referral methods, as
appropriate. Verification of
consultations should be done
by checking whether sex
workers actually attended,
not by counting referral cards
handed out. Each type of
visit should be recorded and
analysed separately.

2. Receiving tests in a sixmonth period (or according
to current programme
standards)
Denominator: number of
mapped sex workers

Positive Health
– access to
support

70

Proportion of
HIV-positive
sex workers
with access to
Positive Health
support

Numerator: number of sex
workers reporting a one-toone or group Positive Health
support in a month
Denominator: Number of
self-reported HIV-positive sex
workers

This is another crude data
point, especially as it relies on
self-reporting of HIV-positive
status. It guides programmes
on the need for resources
for Positive Health when
analysed by geographic area.