TARGET INTERVENTION (SIMS Reporting Indicator Definitions)

TARGET INTERVENTION (SIMS Reporting Indicator Definitions) One of the most critical programme elements of NACP III is the provision of targeted prevention interventions for high risk groups and male bridge groups. These services are best provided through NGOs that provide outreach services to these key populations in community settings. Effective interventions for these groups take advantage of India s window of opportunity to reverse the progression of the HIV epidemic and reduce the overall levels of prevalence. In order to achieve this objective, the strategy will consist of a three-pronged approach: To be most effective a clear prioritization of target populations and geographic scope of the interventions have been laid out for SACS to follow: First, SACS should ensure saturated coverage of Female sex workers (FSW), injectable drug users (IDU), and men having sex with men (MSM) with a comprehensive package of preventive services. Second, program for truckers and migrants, two critical bridge populations will be rolled established and scaled up. States should ensure that districts are prioritized by their category designation, i.e. highest priority given to ensure targeted interventions are present in A districts. Within a district, services should begin in the largest urban areas, eventually expanding into smaller towns, based on mapping efforts. Category C and D districts would place greater emphasis on raising education and awareness in the general population and vulnerability reduction. These districts should also focus on conducting good mapping to identify high priority pockets where high risk group interventions may be needed. Details of MIS Input Format: Responsibility of filling the format: Who will fill the format: NGO Target Intervention (TI) staff; Primarily M&E officer/accountant or Project Manager (In the absence of M&E/Accountant). Report to whom: State AIDS Control Society and to DAPCU (wherever established). Frequency of Reporting: Monthly Each targeted intervention project has to submit the monthly programme performance data as per typology (FSW, MSM, IDU, Migrants and Truckers) of target group covered by the project. Monthly reporting format has been developed separately for each typology of the project. If the TI is core composite, separate format will be filled for each typology of the HRG covered under the project. Each set of format is divided into two parts; - First part cover programme performance and - Second part covers stock management, programme and financial management. 1

First part is divided into five sections:- Part 1: Section 1: Coverage Section 2: Condom Services Section 3: Referrals/Linkages Section 4: STI clinics Section 5: Enabling Environment Section 6: Human Resources 2

MONTHLY REPORTING FORMAT FOR TI-FSW TI code: State: Name of NGO: District: Contract Period: From: To( mm/yy ) Reporting Month: Type of TI FSW No. of hotspots in the project area: Name of In-charge: Email-ID: Phone No: Having NGO STI clinic (Y/N): Indicators for reporting Section 1 : Coverage 1.1 Total number of individual HRGs to be covered as per contract (target given) 1.2 Total number of individual HRGs Registered with the project till this month (cumulative) (a) Home/secret Value 0 (b) Street/public place (c) Brothel (d) Lodge/Hotel 3

(e) Slum (f) High way (g) Tamasha (h) Bar Based (i) Any other 1.3 Of the total number registered, number of new individual HRGs registered during the reporting month. 0 (a) Home/secret (b) Street/public place (c) Brothel (d) Lodge/Hotel (e) Slum (f) High way (g) Tamasha (h) Bar Based (i) Any other 4

1.4 Number of registered individual HRGs dropped (cumulative) till this month (include the individual HRGs not in contact with the project services continuously for last six months and exclude the individual HRGs who were dropped earlier but rejoined during reporting month ) 1.5 Total number of individual HRGs contacted at least once during the month and provided any project services (e.g condom, needle & syringes,lubricant distribution, Information on BCC, clinic services etc) (a) Home/secret 0 (b) Street/public place (c) Brothel (d) Lodge/Hotel (e) Slum (f) High way (g) Tamasha (h) Bar Based (i) Any other 5

1.6 Of the total individual HRGs contacted during the month, how many of them were contacted at least twice (regular contact) and provided any or all project services (a) Home/secret 0 (b) Street/public place (c) Brothel (d) Lodge/Hotel (e) Slum (f) High way (g) Tamasha (h) Bar Based (i) Any other Section 2 : Condom Services 2.1 Estimated number of sex acts with clients per month (a) Home/secret 0 (b) Street/public place 6

(c) Brothel (d) Lodge/Hotel (e) Slum (f) High way (g) Tamasha (h) Bar Based (i) Any other 2.2 Number of free condom distributed by outreach staff during the month. 2.3 Number of condom distributed at STI clinic/drop in centres during the month. 2.4 Number of condom distributed by condom outlets during the month. 2.5 Number of CSM condom sold by TI during the month. 2.6 Number of individual HRGs have said used condoms during last sex act. 3.1 Number of individual HRGs referred to ICTC during the month Section 3 : Referrals/ Linkages Value 3.2 Number of referred individual HRGs tested at ICTC during the month 3.3 Number of individual HRGs found HIV Positive during the month 7

3.4 Total number of HIV positive individual HRGs currently registered at ART centre (cumulative number) 3.5 Total number of individual HRGs who are currently on ART medicines (cumulative number) 3.6 Total number of individual HRGs currently on treatment for TB/DOTs Section 4 : STI Clinics 4.1 Total number of preferred provider providing clinical services through the project during the month 4.2 Total number of individual HRGs visited any Project STI clinics ( including PPP clinics) during the month 4.3 Of the total number visited project STI clinics during this month, number of individuals visited the clinic for the first time. Value 4.4 Of the total number visited project STI clinics during this month, number of individual HRGs visited the clinic for RMC. 4.5 Of the total individual HRGs visited the project STI clinic during the month, number diagnosed and treated for STI symptoms 4.6 Of the total individual HRGs visited the project STI clinics during this month, number of individuals provided presumptive treatment 4.7 Of the total number of individual HRGs visited the project clinic, number of individuals tested for syphilis during the month 4.8 Total number of individual HRGs counselled by the ANM/ counsellor during the month 8

5.1 Total number of Advocacy meetings organised during the month Section 5 : Enabling Environment: Value 5.2 Number of incidents of violence reported during the month 5.3 Number of groups/committees formed / registered during the month Section 6: Human Resource 6.1 Number of outreach workers (ORW) sanctioned ( as per contract) Value 6.2 Total number of outreach workers currently working with the project 6.3 Total number of Peer Educator (PE) sanctioned ( as per contract) 6.4 Total number of Peer Educator currently working with the project 6.5 Number of other staff position vacant witnessed during the month (if any) 6.6 Total number of New staff members recruited during the month (if any) 9

Detailed definitions and explanation Identification and reporting details of TI-FSW Sl. No Indicators Definition/Explanation 1. TI code TI code is 3 digit number provided by SACS to the specific TI project; if the NGO is running more than one TI project, separate code should be given by SACS for each TI. 2. Name of the NGO Name of the institution implementing the TI project. 3. District Name of the district where TI project is located. 4. State Name of the state where TI is located. 5. Contract Period: From: Month and year of MOU initiated and month & year when it will be expired; for example From: mm/yy To: April 2010 to March 2012 (will be written as 04/10 to 03/12 ). mm/yy 6. Reporting Month: Reporting month and year. For example the data for the month January, 2010 would be reported in the month Feb 2010. So the reporting month is January and year is 2010. 7. No. of sites/hotspots in the project area No. of sites covered by the project and updated as and when new sites emerged/abandoned from time to time. (for example, each PE would be given one site or more than one site to cater. Count number of such sites and report). 8. Type of TI Typology of HRG covered by the project i.e. either FSW or MSM or IDU or Migrants or Truckers or core composite. 9. Sub group Write the names of each sub group of HRG covered under this particular typology. 10. Name of the In-charge Name of the project manager or In-charge project manager (if the PM position is vacant). 9. Phone No. Phone no. of the TI project office. 10. Email-ID Official email id of the TI project (for communication on day to day basis). 11. Having NGO STI clinic (Y/N) Write Y if the TI have established STI clinic within the project otherwise write N. 10

Indicators of Reporting for FSW project Section 1 Coverage: This section includes 8 indicators Sl. No. Indicators Definition/Explanation Source of information 1.1 Total number of individual HRGs to be covered as per contract (target given) Target provided in the MOU of the TI by SACS at the time of contract signed (If SACS revise the target in between the contract period, then the revised target should be taken). MOU signed between TI NGO and SACS 1.2 Total number of individual HRGs Registered with the project till this month (cumulative) 1.3 Of the total number registered, number of new individual HRGs registered during the reporting month 1.4 Number of registered individual HRGs dropped (cumulative) till this month (include the individual HRGs not in contact with the project services continuously for last six months and exclude the individual HRGs who were dropped earlier but rejoined during reporting month ) Any new HRG is identified in the site; the ORW will fill in the HRG registration form. Total no. of HRGs registered by the project from beginning of the project till the reporting month. Provide sub group wise break-up. This number will be cumulative. This information pertains to the number of HRGs registered during the reporting month i.e. of the total registered, how many have been identified and registered during the reporting month. Total no. of HRGs dropped from beginning of the project till the reporting month (cumulative) by the project. (for example: Reporting in Jan 10: 50 Number of drop outs till Dec 09 are 55 Number of drop out joined back for availing services in Dec 09 are 5. from master register form E No. of new HRG registration form- A submitted by ORWs during the reporting month. from master HRG form E. 11

1.5 Total number of individual HRGs contacted at least once during the month and provided any project services (e. g. condom, needle & syringes, Lubricant distribution, Information on BCC, clinic services etc) 1.6 Of the total individual HRGs contacted during the month, how many of them were contacted at least twice (regular contact) and provided any or all project services Total number of individual HRGs (head count) contacted by all the peer educators in a given TI with any project services during the reporting month. Provide sub group wise break-up. Note that if a HRG is contacted more than once with one or more services, the individual will be counted as one under this indicator. Of those contacted during the reporting month, no. of individual HRGs (head count) contacted at least twice by all the peer educators in a given TI with any project services during the reporting month. Provide sub group wise break-up. Note that if a FSW is contacted more than twice with one or more services, the individual will be included and counted as one under this indicator. from form C from form C This section includes 6 indicators 2.1 Estimated number of sex acts with clients per month Section 2: Condom Services This is the sum of the estimated individual sexual encounters of all the HRG contacted by the project during the reporting month. Provide sub group wise break-up. This information will be collected once in four months by the outreach team and updated in the Condom Gap Analysis register. Also updated as and when a new HRG is registered during the reporting month. From the condom gap analysis register, the information will be copied in FORM C for compiling outreach level information and feedback to PE. from form C. 12

2.2 Number of free condom distributed by outreach staff during the month. 2.3 Number of free condom distributed at STI clinic/drop in centres during the month. 2.4 Number of condom distributed by condom outlets during the month. 2.5 Number of CSM condom sold by TI during the month. 2.6. Number of individual HRGs has said used condoms during last sex act. This is the sum of condoms actually distributed. This will be collected from the column Number of condoms distributed in form C for the reporting. This is the sum of condoms actually distributed through clinics (through counselor) or through drop in center during the reporting month. Count number of condoms distributed in clinic as well as in Drop in center and total should be written. This is the total sum of condoms distributed through various identified outlets ( pan shop, tea shop, boxes kept in different locations for convenient access) This is the total number of condoms sold ( male and / or female condoms) during the reporting month This is the sum of individual HRGs who had said / reported condom used in the last sex act when contacted by the PE in a given month in the column reported condom use in the last sex of form C. (For example: if a HRG has been contacted by the PE 4 times in a month. All the four times, S/he has said that used condom during last sex act. Count such individual HRG and report in this column). from form C from form I and form M from form N from form C under no male condoms sold and no female condom sold. from form C 13

This section includes 6 indicators Section 3: Referrals/ Linkages Sl. No. Indicators What Source of information 3.1 Number of individual HRGs referred to ICTC during the month 3.2 Number of referred individual HRGs tested at ICTC during the month 3.3 Number of individual HRGs found HIV Positive during the month 3.4 Total number of HIV positive individual HRGs currently registered at ART centre (cumulative number) 3.5 Total number of individual HRGs who are currently on ART medicines (cumulative number) it means This is the sum of the individual HRGs referred to ICTC by the TI project during the reporting month i.e. only referred through referral slip. This is the sum of the individual HRGs tested at ICTC during the reporting month. TI Counselor/ANM has to collect this information from ICTC centers on periodical basis. This is the sum of the individual HRGs tested and found positive at ICTC during the reporting month. The information will be collected by the TI counselor/anm on periodical basis from the ICTC on the total positive detected from the total HRGs tested during reporting month. This is sum of the individual HIV positive HRG referred by TI got registered at ART till the reporting month. This is the sum of the HIV positive individual HRG referred by TI got registered at ART and currently on ART as per ART center information till the reporting month. The counselor/ ANM needs to ensure on monthly basis the total number of HRGs currently taking treatment in ART centers. from referral register form H from referral register form H This information will be collected by project counselor/anm from ICTCs on monthly basis. This information will be collected by counselor/anm from ART centre on monthly basis. This information will be collected by counselor/anm from ART centre on monthly basis. 14

3.6 Total number of individual HRGs currently on treatment for TB/DOTs This is the sum of the individual HRG referred by the project and currently on treatment at DOTS centres/tb hospitals. The counselor/ ANM needs to ensure on monthly basis the total number of HRGs currently under treatment in TB/DOTs centers. This information will be collected by counselor/anm from DOT/TB.hospital This section includes 8 indicators Section 4: STI Clinic Sl. No. Indicators What it means Source of information 4.1 Total number of preferred provider providing clinical services through the project during the month This refers to number of active PPP provider under the TI project during the reporting month. No. of preferred provider submitted the Form FF (Counselor/ANM has to collect Forms from PPP). The number of provider submitting the forms will be the number of preferred provider active. 4.2 Total number of individual HRGs visited any Project STI clinics ( including PPP clinics) during the month 4.3 Of the total number visited project STI clinics during this month, number of individuals visited the clinic for the first time. 4.4 Of the total number visited project STI clinics during this month, number of individual HRGs visited the clinic for RMC. This refers to sum of the individual HRG visited either project based STI clinic or/and PPP clinic during the reporting month. This refer to sum of the individual HRGs visiting STI clinic (project based/project linked) for the first time ( new ) during the project period. An HRG can be new only once in the life time of the project. This refer to sum of the HRGs received RMC (have undergone internal examination and no STI symptoms were detected) from STI clinic (project based/project linked) during the reporting month. Clinic daily summary sheet form FF during the reporting month. Clinic daily summary sheet form FF during the reporting month. Clinic daily summary sheet form FF during the reporting month. 15

4.5. Of the total individual HRGs visited the project STI clinic during the month, number diagnosed and treated for STI symptoms 4.6 Of the total individual HRGs visited the project STI clinics during this month, number of individuals provided presumptive treatment by the project 4.7 Of the total number of individual HRGs visited the project clinic, number of individuals tested for syphilis 4.8 Total number of individual HRGs counseled by the ANM/ counselor during the month This refers to sum of the individual HRG received symptomatic treatment at STI clinic (project based/project linked) during reporting month. This also includes the HRGs who came for RMC but were diagnosed with STI symptoms. This refers to sum of the individual HRG received presumptive treatment (PT) at STI clinic (project based/project linked) during reporting month. The PT is provided when a HRG visits the clinic for the first time and is asymptomatic and every six months if the HRG do not visit the clinic during this period. This refers to sum of the individual screened for syphilis during the reporting month by the TI project. All the HRGs who have been referred to ICTC will be also get tested for syphilis. This refers to sum of the individual received any type of counseling by ANM/Counsellor during the reporting month.) Clinic daily summary sheet form FF during the reporting month. Clinic daily summary sheet form FF during the reporting month. Referral register-form H Counseling register Form I 16

Section 5: Enabling Environment This section includes 3 indicators Sl No. Indicators What it means Source of information 5.1 Total number of Advocacy meetings organised during the month 5.2 Number of incidents of violence reported during the month 5.3 Number of groups/committees formed / registered during the month Total no. of advocacy meeting conducted during the reporting month. For every advocacy meeting held, one form is filled-in. Count such filled-in forms during the reporting month and report accordingly the number. Any incidents related to violence/harassment/discrimination reported by HRG during the reporting month and recorded in the crisis management register. Report such incidents here. Report here, if any groups/committees formed/registered with support of project for the community during the reporting month. from advocacy register form J from crisis management register form K from community mobilization register, form P. 17

Section 6: Human Resources This section includes 6 indicators Sl. No. Indicators What it means Source of information 6.1 Number of outreach workers sanctioned ( as per contract) This refers to number of ORW post sanctioned in MOU of the TI NGO signed MOU signed with the TI NGO by SACS and approved budget with SACS. 6.2 Total number of outreach workers This refers to number of ORW on roll during Attendance register maintained at TI currently working with the project 6.3 Total number of Peer Educator sanctioned ( as per contract) the reporting month. This refers to number of PE post sanctioned in MOU of TI NGO signed with SACS. project office and Salary register. MOU signed with the TI NGO by SACS and approved budget 6.4 Total number of Peer Educator currently working with the project. 6.5 Number of other staff position vacant witnessed during the month (if any) This refers to number of PE in position during the reporting month. This refer to number of other staff positions (other than PE and ORW), that are vacant during the reporting month. The positions are: Project Manager, Accountant, M&E officer, Counselor / ANM etc.) No. of PEs have claimed honorarium from the project during the reporting month. Attendance register maintained at TI project office 6.6 Total number of New staff members recruited during the month (if any) This refers to number of new staff recruited in any cadre (PE, ORW, PM, Accountant, M&E officer, Counselor / ANM) during the reporting month. Attendance register maintained at TI project office. Appointment letter issued by the TI NGO. 18