Acknowledgements

1. 
   List three elements of an HIV surveillance report.
   

1. 
   executive summary
   
2. 
   introduction
   
3. 
   body of the report
   
4. 
   discussion
   
5. 
   conclusion
   

2. 
   True or false? The conclusion section of an HIV surveillance report is an optional element.
   

3. 
   True or false? Changes in reporting practises may result in a spurious increase or decrease in AIDS incidence.
   

4. 
   When describing the HIV epidemic, why is it preferable to perform analysis based on the date of diagnosis rather than the date of report?
   

5. 
   True or false? Increases in the number of persons receiving ART can result in a decrease in AIDS incidence, regardless of the number of new HIV infections occurring.
   

Warm-up questions, continued

6. 
   Which of the following are potential target audiences for surveillance reports on HIV?
   

1. 
   people who contribute to collecting the surveillance data
   
2. 
   healthcare workers
   
3. 
   public health officials at the district, provincial, national and international levels
   
4. 
   all of the above
   

Surveillance reports can be used by the above groups to target or prioritise services for HIV prevention and patient care; and to help explain the need for services and funding to policy makers, civic leaders, and legislators.

You work in the surveillance unit of Cariba and are responsible for developing the annual HIV surveillance report. You have data from HIV case reporting nationwide and from a single cohort of patients who received ART in a large urban clinic. Use this information to answer the following questions.

1. 
   What data will you include in your report? Describe some of the ways you might display the data according to the source of the data.
   

• 
  functional status
  

• 
  median CD4 counts or proportion of patients who had CD4 testing whose counts were > 200 cells/mm³
  
• 
  survival or number of deaths
  
• 
  trends in the number of persons in the cohort living each year
  
• 
  trends in the incidence of selected opportunistic illnesses
  

Appendix E, Action Plan for Strengthening Surveillance in Caribbean Countries

Introduction

To begin the process of operationalising case-based HIV surveillance and basic STI surveillance, you will need to:

• 
  develop country-specific operational guides for HIV/AIDS/STI surveillance
  
• 
  develop country-specific implementation work-plans
  
• 
  organise your country’s approach to case reporting and regional reporting.
  

What is an

action plan?

A well-developed action plan allows you to:

• 
  establish clear goals and objectives
  
• 
  present your ideas to achieve consensus among all persons involved
  
• 
  establish a realistic budget
  
• 
  ensure that the appropriate staff in each facility are trained on surveillance
  
• 
  determine activities
  
• 
  determine responsible persons
  
• 
  establish a timeline for completion of activities.
  

Instructions

Over the next couple of days, you will be developing a draft action plan and will discuss your action plan with the group.

• 
  You will use the Worksheet for Developing an National Plan (Worksheet 1)
  
• 
  Your country Action Plan and presentation, 30 minutes.
  

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