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

How to Investigate Adherence to Antiretroviral Treatment:
An Indicator-Based Approach
BACKGROUND
The methods we have followed in performing this survey follow those developed by the
International Network for the Rational Use of Drugs Initiative on Adherence to
Antiretrovirals (INRUD-IAA). The methods are designed to be able to use a standardized set
of indicators for looking at the adherence performance of the patient population of a facility
and to compare them to other facilities.
The information for the main indicators are derived from self-report from interviews and on
adherence, based on missed days from pharmacy records; and on appointment-keeping,
based on information from attendance registers.
Other system indicators have also been collected for availability and stock-outs, from
pharmacy records; time and expenses to travel to the clinic, time in clinic, dispensing rate,
patient knowledge rate and drug labelling rate from exit interviews.
The survey used three forms based on record review, patient exit interviews and interviews
with the facility director and the pharmacist. Data from the forms was double entered in an
analysis program developed by INRUD-IAA.
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