CDC, USAID, WHO, CHAI, ASLM, MSF, Global Fund, (2016).
This framework presents key considerations and examples of tools to assist countries in developing a national viral load monitoring and evaluation plan. Section 1 describes the process of assessing M&E data systems and tools and understanding how data flows to and from facilities, sample transport networks and laboratories. Section 2 outlines a set of indicators that M&E systems are encouraged to collect in order to measure key program and patient outcomes along the VL testing cascade. Section 2 also includes a discussion on how to monitor patients who are not virally suppressed and suggests tools for longitudinally following cohorts of non-suppressed patients. Section 3 provides methods for evaluating viral load implementation plans and examples of evaluation questions.