03.03.2014 Views

How to investigate levels of Adherence to antiretroviral ... - INRUD

How to investigate levels of Adherence to antiretroviral ... - INRUD

How to investigate levels of Adherence to antiretroviral ... - INRUD

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

<strong>How</strong> <strong>to</strong> Investigate <strong>Adherence</strong> <strong>to</strong> Antiretroviral Treatment:<br />

An Indica<strong>to</strong>r-Based Approach<br />

9. Who should be the survey coordina<strong>to</strong>r?<br />

They need the ability <strong>to</strong> oversee all stages <strong>of</strong> the survey including design, recruitment <strong>of</strong><br />

team leaders and data collec<strong>to</strong>rs, training, data collection, data processing, data analysis,<br />

report writing, and dissemination.<br />

10. Do we need other team leaders?<br />

It depends on how many facilities you intend <strong>to</strong> survey. If it is 20, as recommended, then<br />

that is a lot <strong>of</strong> work for one team. Therefore it is probably a good idea <strong>to</strong> have more than one<br />

team and each will need a team leader.<br />

11. Who should we choose as a team leader?<br />

They need <strong>to</strong> have the capacity <strong>to</strong> assess the record-keeping system and efficiently decide<br />

how <strong>to</strong> sample for the retrospective records. They also need <strong>to</strong> know how <strong>to</strong> communicate<br />

with the facility managers and manage the work <strong>of</strong> the team so that all people are busy at all<br />

times.<br />

12. Who should we choose as data collec<strong>to</strong>rs?<br />

Data collec<strong>to</strong>rs should be familiar with pharmaceutical terms <strong>to</strong> be able <strong>to</strong> reliably extract<br />

information from records, and <strong>to</strong> record it accurately during observations. The most<br />

effective data collec<strong>to</strong>rs are persons with clinical experience such as physicians, nurses,<br />

pharmacists, paramedical staff, or senior medical or pharmacy students.<br />

Data collection can be tedious, and requires an aptitude for concentration and attention <strong>to</strong><br />

detail. The best data collec<strong>to</strong>rs combine the discipline <strong>to</strong> collect data in a standardized way<br />

with the flexibility <strong>to</strong> adapt procedures <strong>to</strong> the requirements <strong>of</strong> unusual situations. People<br />

who have these traits but lack technical knowledge can be trained <strong>to</strong> perform effectively and<br />

will improve with experience; people without them will never perform effectively,<br />

regardless <strong>of</strong> their technical qualifications.<br />

13. Can we adapt the data collection forms?<br />

Yes you can change the medicines lists, the types <strong>of</strong> hospitals, the regions or areas, the types<br />

<strong>of</strong> management and the types <strong>of</strong> drug suppliers: see Cus<strong>to</strong>mization in Chapter5.<br />

14. <strong>How</strong> do we print the forms and how many do we need?<br />

See Printing Data Entry Forms in Chapter 5.<br />

102

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!