Using PLACE Indicators to interpret PEPFAR and UNAIDS Indicators

Many of the sexual behavior indicators used by the U.S. President's Emergency Plan For AIDS Relief (PEPFAR) and the Joint United Nations Programme on HIV/AIDS (UNAIDS) are designed to measure national trends in sexual behavior based on data from national population-based surveys. These surveys are rarely conducted every year and are not designed to provide estimates for sub-national areas, such as Priority Prevention Areas. PLACE assessments can provide selected PEPFAR and UNAIDS indicators among the population in areas most vulnerable to new HIV transmission. These local trends can be compared to PEPFAR and UNAIDS indicators, and used to interpret the national indicators. The indicators that can be estimated for the PLACE population include the following:

PEPFAR Indicators

  • Percent of never-married young people aged 15-24 who have never had sex

  • Percent of never married women and men aged 15-24 who had sex in the last 12 months, of all never-married women and men (aged 15-24) surveyed

  • Percent of women and men aged 15-49 who had sex with more than one partner in the last 12 months, of all people aged 15-49

  • Percent of women and men aged 15-49 who say they used a condom the last time they had sex with a non-marital, non-cohabitating partner, of those who have had sex with such a partner in the last 12 months

  • Percent of men reporting sex with a sex worker in the last 12 months who used a condom during last paid intercourse

  • Percent of population aged 15-49 receiving HIV test results in the last 12 months.

UNAIDS Indicators

Indicator UNAIDS Indicator Numberi

  • Population receiving an HIV test

 5.1.1

  • Higher risk sex in the past year

 8.1

  • Condom use at last higher risk sex

 8.2

  • Condom use at last sex with anyone

 8.2.2

  • Commercial sex in last year

 8.3

  • Condom use at last commercial sex, reported by client

 8.4

  • Condom use at last commercial sex, reported by sex worker

 8.5

  • Higher risk male sex in last year

 8.6

  • Median age at first sex among young men and women

 9.1

  • Young people having premarital sex in last year

 9.2

  • Young people using a condom during premarital sex

 9.3

  • Young people having multiple partners in last year

 9.4

  • Young people using a condom at last higher risk sex

 9.5, 9.5.1

  • Age mixing in sexual relationships

 9.7

  • Injecting drug users sharing equipment at last injection

 10.1

  • Drug injectors using condom at last sex

 10.3

  • Drug injectors using a condom at last commercial sex

 10.3.1.

Notes

i.United Nations Programme on AIDS (UNAIDS). National AIDS Programmes: A Guide to Monitoring and Evaluation. Geneva, Switzerland: UNAIDS; 2000.

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