Key Area Objectives

HIV blood screening, Epidemiological surveillance, Second generation surveillance, STI surveillance

Detailed Description of Key Areas

HIV blood screening

• Donor recruitment – including everything related to motivating, educating, recruiting, selecting, screening, counselling and retaining blood donors
• Blood collection – including collecting blood from accepted donors
• HIV testing – including the first and any subsequent confirmatory tests
• Blood processing – HIV testing, including other testing, blood grouping, preparation of blood products, and all measures taken to ensure safety of blood prior to storage
• Blood storage/distribution – including all steps taken in storing and transporting blood through to its final transfusion in hospital
• Training – training of all personnel, including laboratory, medical, managerial and support staff
• Management and administration – including planning and supervision of the strategy

Epidemiological surveillance

• Methods of HIV surveillance – including biological surveillance, behavioural surveillance and other sources of information (HIV/AIDS case reporting, paediatric AIDS case surveillance, death registration,STI indicators)
• Sentinel populations used for HIV surveillance – including STI patients, IDUs, sex workers, MSM, women at antenatal clinics
• Populations regularly screened for HIV infection – including donated blood or blood donors, occupational cohorts
• Indicators used in HIV surveillance – including biological, behavioural and socio-demographic indicators
• Trends in HIV infection
• HIV transmission schemes
• Sentinel surveillance locations
• Schemes for test collection
• Blanks and other documents for data collection
• Training – training of all personnel, including laboratory, medical, managerial and support staff
• Confidentiality
• Facilities and equipment – including laboratories, test kits, and other equipment

Second generation surveillance

• Mechanisms used for collecting information
• Training – training of all personnel, including laboratory, medical, managerial and support staff
• Blanks and other documents for data collection
• Use and dissemination of information acquired
• Risk groups – including mixed groups, low risk groups
• Risk behaviours
• Confidentiality

STI surveillance

• STI indicators
• Confidentiality
• Data collection and data quality
• Facilities and equipment – including laboratories, test kits, and other equipment
• Blanks and other documents for data collection
• Comprehensive case management – identification of syndrome, treatment, education of patient, condom supply, counselling, notification and management of sexual partners