| Category (Objective) 1: Supporting sustainable prevention programmes to reduce the transmission of HIV/AIDS among youth and the general population |
| № |
Impact / outcome Indicator |
Indicator name |
Indicator explanation |
Baseline Value (if applicable) |
Baseline Date |
Intended results/targets
|
Actual results |
Reason for programmatic deviation |
| 1 |
Outcome |
Percentage of youth always using condoms with non-regular partners
|
The targets will be measured only at the end of year 5 because behavior change could be achieved only after implementation of all planned 5-year cycle of activities. Baseline had been established after conducting the first safer sex campaign KAPB survey in the first phase of the project. |
34.00% |
2006 |
40.00%
|
Num.: 973
Denom.: 1 990
48.89%
|
|
| 2 |
Impact |
Number of new HIV cases registered in targeted regions |
The indicator reflects number of new HIV cases registered in year 2009 and 2010 in 10 GLOBUS regions. It is assumed that annual change in incidence in 2009 will not exceed 10% from year 2008 and annual change in incidence in 2010 will not exceed 10% from year 2009 |
8678 |
2011 |
Annual change (percent) in incidence in 2008 will not exceed 10% from Year 4 (meaning 2007 calendar year)
|
Annual change (percent) in incidence in 2008 did not exceed 10% from Year 4 (meaning 2007 calendar year)
|
According to the recent data published in the Information bulletin #33 by the Federal AIDS Center in 2009, in 2004 in the ten program regions, number of new HIV cases decreased by 5% in comparison with 2003, in 2005 increased by 6.8% in comparison with 2004, in 2006 increased by 10.5% in comparison with 2005, in 2007 it declined by 0.2% in comparison with 2006, in 2008 increased by 9.1% in comparison with 2007. Thus the intended result is achieved.
|
| 3 |
Outcome |
Percentage of general population who report receiving HIV post-test counseling in the last 12 months.
|
counseling services receipt will be determined by respondent’s acknowledgement of receipt of test result explanations from the medical specialist |
57.76% |
September 2006 |
63.00%
|
Num.: 1 116
Denom.: 1 578
70.72%
|
|
| 4 |
Outcome |
Number of staff from HIV testing and support organizations trained in HIV/AIDS counseling skills
|
HIV testing and/or support organization staff member is considered as trained if he/she actually participated in at least one seminar/training/lecture conducted in the framework of the project and received certificate. |
0 |
2004 |
|
1 001
|
|
| Category (Objective) 2: Supporting sustainable prevention programmes to reduce the transmission of HIV/AIDS among vulnerable groups |
| № |
Impact / outcome Indicator |
Indicator name |
Indicator explanation |
Baseline Value (if applicable) |
Baseline Date |
Intended results/targets
|
Actual results |
Reason for programmatic deviation |
| 1 |
Outcome |
Percentage of CSW in targeted regions who report using a condom during last commercial sex |
|
77.00% |
2006 |
92.00%
|
|
Высокий процент использования презервативов при коммерческих контактах клиентами программы свидетельствует о качественном и непрерывном информационно-профилактическом воздействии региональных проектов на КСР.
|
| 2 |
Outcome |
Percentage of IDUs (clients of HR programs) in targeted regions avoided sharing non sterile syringes
|
The indicator demonstrates reduction of syringe sharing by HR program clients |
60.00% |
2005 |
90.00%
|
Num.: 1 743
Denom.: 1 994
87.41%
|
Slight underachievement of the intended target is explained by unfavorable conditions in Orsk, where 40% of HR project clients reported syringes sharing. Such a high rate of syringe sharing is explained by high heroin prices and lack of money among IDUs. That is why there is an increased demand for ready-made solutions in syringes which IDUs buy for two and share.
|
| 3 |
Outcome |
Percentage of MSM in targeted regions who report condom use during last anal sex with a male partner
|
The indicator allows to assess reduction in likelihood of being infected with HIV among MSM |
59.55% |
September 2006 |
70.00%
|
Num.: 683
Denom.: 970
70.41%
|
The difference in values of the indicator "Percentage of MSM in targeted regions who report condom use during last anal sex with a male partner", 75.8 % in the report on survey and 70.4 % in the table of indicators, is due to correction of the data on socially-demographic characteristics of respondents in different rounds of survey. Correction was used to compare of values of an indicator for different survey rounds.
|
| Category (Objective) 3: Providing treatment, care, health promotion and social support to people living with HIV/AIDS |
| № |
Impact / outcome Indicator |
Indicator name |
Indicator explanation |
Baseline Value (if applicable) |
Baseline Date |
Intended results/targets
|
Actual results |
Reason for programmatic deviation |
| 1 |
Outcome |
Percentage of people that support the idea that HIV positive people should be separated from the total population
|
The target value (decrease) will be measured only at the end of year 5 because attitude change could be achieved only after implementation of all planned 5-year cycle activities. Baseline had been established by the baseline KAPB survey on target group (people aged 15-50) knowledge in the fields of HIV/AIDS and tolerance towards PLWH in the first phase of the project. |
54.00% |
2005 |
47.00%
|
Num.: 870
Denom.: 2 210
39.37%
|
Воздействие двух последовательно проведенных кампаний позволило достичь более значительных изменений в отношении общества к людям, живущим с ВИЧ, чем предполагалось. За целевое значение индикатора было принято минимальное улучшение в 7%, исходя из опыта проведения подобных кампаний. То что индикатор оказался перевыполнен в два раза свидетельствует об эффективности выбранного подхода и удачном планировании мероприятий.
|
| 2 |
Impact |
Percantage of adults with HIV still alive 12 months after initiation of ARV treatment |
This indicator aimed to assess progress in increasing survival among infected adults by maintaining them on antiretroviral therapy |
|
|
75.00%
|
Num.: 1 671
Denom.: 2 932
56.99%
|
The achieved value of the indicator is based on the Drug Management Information System (DMIS). 56.9 is a cumulative adherence rate since the start of the project. Additionally we know that 66 persons have moved to another regions and there is a high probability that they alive and continue treatment. If the calculation of the achieved value of the indicator is based on the last year data its achieved result is 72.4% that is higher than the baseline meaning sustainable adherence to HIV treatment. The indicator was underachieved due to the following objective reasons: (1) more than 60% of the patients are IDUs, (2) absence of substitution therapy in Russia that even more complicate retention of IDUs on treatment, (3) overall, the system is overloaded because of hard burden of the limited number of doctors with ARV drugs and patients in the last three years.
|
| Category (Objective) 1: Supporting sustainable prevention programmes to reduce the transmission of HIV/AIDS among youth and the general population |
| № |
Service Delivery Area |
Indicator name |
Indicator explanation |
Baseline Value (if applicable) |
Baseline Date |
Intended results/targets
|
Actual results |
Reason for programmatic deviation |
| 1 |
Prevention: Behavioral Change Communication – Mass Media |
Number of printed materials on HIV/AIDS for targeted groups distributed in targeted regions. |
Number of copies of printed materials on HIV/AIDS distributed in targeted areas |
0 |
December 2004 |
|
5 000 047
|
|
| 2 |
Prevention: Behavioral Change Communication – Mass Media |
Number of staff (health staff, managers, communicathion officers, journalists, volunteers etc.) from NGOs and GOs in targeted regions trained in development, implementation and evaluation of safer sex mass media and behaviour change campaigns
|
Indicator demonstrates the number of staff from NGOs and GOs trained by FOCUS-MEDIA Foundation in development, implementation and evaluation of safer sex mass media and behaviour change campaigns. Trained staff demonstrate practice skills and experience in campaigns implementation. |
211 |
2006 |
120
|
128
|
|
| 3 |
Prevention: Behavioral Change Communication – Mass Media |
Number of young people reached by HIV prevention activities
|
This indicator demonstrates a number of young people that took part in mass events, seminars, sport events, parties, etc, aimed at fight against HIV/AIDS. |
200 000 |
2006 |
|
1 184 703
|
|
| 4 |
Prevention: Behavioral Change Communication – Mass Media |
Number and percentage of young people who both correctly identify ways of preventing the sexual transmission of HIV and who reject major misconceptions about HIV.
|
This indicator demonstrates the level of knowledge about HIV transmission ways and methods of prevention among target groups. |
18.60% |
2006 |
|
Num.: 1 954
Denom.: 4 219
46.31%
|
Целевое значение данного индикатора на 20 квартал в абсолютных цифрах (количество человек в возрасте от 15 до 29 лет) составляет 2 295 631.
При пересчете полученных данных (46,31%) на общее количество молодежи данного возраста, проживающей в 10 регионах проекта (5 338 678 человек по данным Госкомстата за 2002 год) получаем 2 472 342 человек. Полученный результат несколько превышает целевое значение (не более 7%), что свидетельствует об эффективности проводимых профилактических мероприятий.
|
| 5 |
Prevention: Behavioral Change Communication – Mass Media |
Number and percentage of people aged 15-29 regularly reached by Safer sex mass media campaign.
|
The indicator demonstrates annual coverage level of the second and third safer sex campaigns. Second campaign will start at year 3, third campaign will start at year 4. |
25.00% |
2004 |
|
|
|
| 6 |
Prevention: Behavioral Change Communication – Mass Media |
Number of radio/television spots aired, designed to promote safer sex and/or to reduce stigma and discrimination of vulnerable population groups and PLWHA
|
This indicator demonstrates the level of HIV/AIDS information availability for population |
3 400 |
2004 |
|
50 076
|
|
| 7 |
Prevention: Condom Distribution |
Number of medical personnel in targeted regions trained in promotion of high quality condoms at locations selling/distributing condoms
|
Number of medical personnel (plus pharmacists, NGO specialists) trained in promotion of high quality condoms. |
0 |
2004 |
32 300
|
36 543
|
Due to greater interest in tranings from target group value of this indicator exceeded.
|
| 8 |
Prevention: Condom Distribution |
Number of volunteers in targeted regions trained in promotion of high quality condoms at locations selling/distributing condoms
|
Number of volunteers (more active and interested in training work young people, young specialists) trained in promotion of high quality condoms. |
0 |
2004 |
25 000
|
33 048
|
The target value for this indicator was significantly lower than the actual number because soldiers from the military project were added to the other volunteers in 15-16th quarter.
|
| 9 |
Prevention: Counseling and testing |
Number of youth peer educators in targeted regions trained in HIV/AIDS counseling
|
Number of youth peer educators in targeted regions trained in HIV/AIDS counseling
|
0 |
2004 |
|
482
|
|
| 10 |
Prevention: Programmes for specific groups |
Number of condoms distributed among targeted groups (youth, MSM, IDUs, CSWs, etc.)
|
Number of condoms are provided for PSI`s partner organizations, members of GLOBUS consortium, UN organizations, Russian governmental and non-governmental organizations in GLOBUS regions for free or with discounts with the aim of distributing for free to general population, including youth and supporting HIV/AIDS prevention activities. |
0 |
2005 |
4 200 000
|
4 346 081
|
Supplying Favorite condoms were implemented under the requirements of regional State Hospitals and NGO working in GLOBUS regions.
|
| 11 |
Supportive environment: Strengthening of civil society and institutional capacity building |
Number and percentage of public secondary schools using the revised National Health Education curriculum [with integrated HIV/STI module] in targeted cities
|
Number of public secondary schools using the revised National Health Education curriculum [with integrated HIV/STI module] |
1.00% |
2003 |
|
Num.: 2 671
Denom.: 3 326
80.31%
|
|
| Category (Objective) 2: Supporting sustainable prevention programmes to reduce the transmission of HIV/AIDS among vulnerable groups |
| № |
Service Delivery Area |
Indicator name |
Indicator explanation |
Baseline Value (if applicable) |
Baseline Date |
Intended results/targets
|
Actual results |
Reason for programmatic deviation |
| 1 |
Prevention: Behavioral Change Communication – Community Outreach |
Number of IEC materials for MSM distributed
|
Total number of different types of IEC materials distributed among MSMs during reporting period (quarter). |
1 900 |
2005 |
340 000
|
377 428
|
Indicator exceeded due to large number of outreach contacts and other prevention events.
|
| 2 |
Prevention: Behavioral Change Communication – Community Outreach |
Number of prisoners reached by HIV prevention services |
Till 2010 the indicator called “Number of prisoners participating in HIV prevention trainings conducted by prison personnel” |
250 |
2006 |
|
5 576
|
|
| 3 |
Prevention: Behavioral Change Communication – Community Outreach |
Number and percentage of CSW reached by HIV prevention services in targeted regions |
|
13.50% |
2004 |
55.00%
|
Num.: 15 165
Denom.: 26 670
56.86%
|
Превышение индикатора связано с расширением охвата КСР за последние 9 месяцев за счет выявления новых мест дислокации секс-работников с целью предоставления им профилактических услуг.
|
| 4 |
Prevention: Behavioral Change Communication – Community Outreach |
Number and percentage of street children reached by HIV prevention services in selected cities
|
|
0 |
2004 |
65.00%
|
Num.: 9 738
Denom.: 13 400
72.67%
|
The indicator is overachieved because of higher demand in the provided services by the target group.
|
| 5 |
Prevention: Behavioral Change Communication – Community Outreach |
Number and percentage of IDUs reached by HIV/AIDS prevention services in targeted regions
|
Estimated number of IDUs in nine program regions (excluding Vologda where the program was closed due to objective reasons) is 177 170. Among them 100 000 is the estimated number of IDUs in Saint-Petersburg and 77 170 in other eight regions. Given the size of Saint-Petersburg and the gravity of the problem, program funding is not enough to sufficiently address it. Therefore, the data from the city can distort the real picture with HR coverage in other regions of the program. That is why target value for this indicator will be reported based on the information from eight regions, excluding Saint-Petersburg and Vologda. Number and percentage of IDUs covered by HIV prevention services in Saint-Petersburg will be collected separately. |
3.28% |
2012 |
48.00%
|
Num.: 33 955
Denom.: 72 000
47.16%
|
Minor underachievement is explained by the summer period when many IDUs leave urban areas and demand for HR services declined.
|
| 6 |
Prevention: Behavioral Change Communication – Community Outreach |
Number and percentage of MSM in targeted regions reached by HIV prevention programs |
|
0.40% |
2004 |
15.00%
|
Num.: 22 673
Denom.: 150 320
15.08%
|
|
| 7 |
Prevention: Condom Distribution |
Number of condoms distributed among MSM |
|
236 582 |
2009 |
|
|
|
| 8 |
Supportive Environment: Human resources |
Number of staff trained at regional harm reduction projects
|
Staff member is considered as trained if he/she actually participated at least in one relevant seminar/training/lecture and received certificate. |
52 |
2003 |
|
1 104
|
|
| 9 |
Health Workforce |
Number of prison personnel trained in HIV prevention methods
|
Number of prison personnel in targeted regions trained in HIV prevention methods
|
210 |
2003 |
|
1 627
|
|
| Category (Objective) 3: Providing treatment, care, health promotion and social support to people living with HIV/AIDS |
| № |
Service Delivery Area |
Indicator name |
Indicator explanation |
Baseline Value (if applicable) |
Baseline Date |
Intended results/targets
|
Actual results |
Reason for programmatic deviation |
| 1 |
Care and Support for chronically ill and families |
Number of people trained to provide psycho-social support to affected individuals and their families
|
Number of people participated in workshop “Palliative care and comprehensive support service for PLWHA and relatives” |
0 |
2004 |
1 000
|
1 070
|
Данный индикатор остается перевыполненным в этом квартале в связи с его перевыполнением в предыдущие отчетные периоды. Согласно договора с региональными партнерами в каждом проекте запланировано обучение не менее 10 специалистов в год
|
| 2 |
Prevention: PMTCT |
Number of children born to HIV-infected women who are provided with milk formula as a part of MTCT prophylaxis program in targeted regions
|
The indicator reflects number of children born to HIV-infected women who are provided with milk formula as a part of MTCT prophylaxis program in targeted regions. Those children who were provided with milk formula at least once, either via their parents or other lawful guardians will be calculated |
927 |
2006 |
|
4 069
|
|
| 3 |
Treatment: Antiretroviral treatment (ARV) and monitoring |
Percentage of HIV-positive infants born to HIV infected mothers
|
Because of the 18-month delay between birth and confirmation of HIV status, performance against this indicator will be measured using programme monitoring data in years 4 and 5 for the previous years of the programme for which data is collected. |
8.19% |
July 2005 |
7.00%
|
Num.: 43
Denom.: 789
5.45%
|
|
| 4 |
Treatment: Antiretroviral treatment (ARV) and monitoring |
Number of people with advanced HIV infection in targeted regions receiving ARV combination therapy |
The indicator serves to assess scope of provision people with advanced HIV infection with ARV combination therapy |
564 |
2004 |
2 500
|
3 430
|
The data verification revealed 92 DMIS-generated repeated codes. That is why the real number of people with advanced HIV infection in targeted regions receiving ARV combination therapy in the framework of GLOBUS project is 3338.
|
| 5 |
Treatment: Antiretroviral treatment (ARV) and monitoring |
Number of health personnel in targeted regions trained in ARV treatment and monitoring and the provision of care for PLWHA |
Health personnel is considered as trained in ARV treatment and monitoring and/or the provision of care for PLWHA if he/she was trained on this subject in the framework of GLOBUS project |
0 |
2004 |
480
|
372
|
Since AFEW and AIDSinfoshare significantly contribute toward the achievement of this indicator, total number of trained health personnel is 496.
|
| 6 |
Treatment: Antiretroviral treatment (ARV) and monitoring |
Number of people with advanced HIV infection in targeted regions receiving ARV combination therapy
|
The indicator serves to assess scope of provision people with advanced HIV infection with ARV combination therapy |
564 |
2004 |
|
859
|
|
| 7 |
Care and support: Care and support for the chronically ill |
Number of chronically ill in targeted regions receiving support
|
Number of individuals receiving psychological, social and spiritual support through developing comprehensive care and support service for PLWHA and relatives |
170 |
2004 |
900
|
979
|
Перевыполнение индикатора связано с тем, что число пациентов проекта постоянно менялось, на место выбывших по различным причинам из проекта пациентам принимались новые. Пациенты включались в проект по потрребностям, при наличии показаний, что приводило к тому, что в некоторых регионах число пациентов было выше изначально запланированного.
|
| Category (Objective) 4: Advocating improvement in the HIV/AIDS policy environment and building capacity to reduce the impact of HIV/AIDS on infected, affected and vulnerable people |
| № |
Service Delivery Area |
Indicator name |
Indicator explanation |
Baseline Value (if applicable) |
Baseline Date |
Intended results/targets
|
Actual results |
Reason for programmatic deviation |
| 1 |
Supportive environment: Policy development including workplace policy |
Number of enterprises/companies which have HIV/AIDS workplace policies and programs
|
The level of involvement of enterprises and companies in the fight against AIDS is determined by the presence of specific policies regulating various aspects of the company’s attitude to the problem. The purpose on this indicator - assessment of the progress in realization of HIV/AIDS policies and programs at enterprises/companies workplaces |
0 |
2004 |
14
|
14
|
|
| 2 |
Supportive environment: Policy development including workplace policy |
Number of legislators/leaders/business representatives actively involved in the fight against HIV/AIDS
|
Effectiveness of AIDS response strategies in the framework of multisectoral approach with participation of government and business leaders is defined to a large extent by personal involvement in the dialogue on AIDS of legislators, officials and private sector representatives |
0 |
2003 |
370
|
457
|
Overachievement is explained by the sufficient progress achieved in previous quarters and keen interest of legislators/leaders/business representatives toward this issue
|
| 3 |
Supportive environment: Policy development including workplace policy |
Number of publications based on lessons learned/best practice case studies, arising from experience of scaling up key HIV services in selected regions
|
Publications aimed at analyzing strategies and programs, studying experience and its further replication in the framework of key regions and at the federal level |
0 |
2003 |
35
|
39
|
Overachievement is explained by the growing interest in HIV/AIDS issues from the media.
|
