Guidelines for assessing the utility of data from prevention of mother-to-child transmission (PMTCT) programmes for HIV sentinel surveillance among pregnant women / UNAIDS/WHO Working Group on Global HIV/AIDS and STI Surveillance.
BACKGROUND: Global surveillance of HIV and sexually transmitted infections is a joint effort of the World Health Organization (WHO) and the Joint United Nations Programme on HIV/AIDS (UNAIDS). PURPOSE OF THE GUIDANCE DOCUMENT: This document provides guidance to countries for assessing the utility of data from programmes for prevention of mother-to-child transmission (PMTCT) of human immunodeficiency virus (HIV) for HIV sentinel surveillance (HSS) among pregnant women. The objectives of these guidelines are as follows: 1. Describe the context and rationale for transitioning from traditional HSS based on unlinked anonymous testing (UAT) in antenatal clinics (ANCs) to a system of HSS based on routine PMTCT programme data. 2. Describe robust methods for assessing the quality of PMTCT programme data for use in HSS. 3. Describe general standards for evaluating the readiness of PMTCT programme data to serve as the basis for HSS among pregnant women. This guidance document is written for national HIV/acquired immunodeficiency syndrome (AIDS) programme managers, surveillance officers and epidemiologists responsible for monitoring HIV trends in low- and middle-income countries.