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

How to Investigate Adherence to Antiretroviral Treatment:
An Indicator-Based Approach
20. Patient travel cost for care—Average cost spent travelling to health facility to receive
care.
Rationale
Source of data
Data collection
Computation
Cost of travelling to receive care can be a barrier to adherence.
Patient exit interviews.
Based on a sample of 30 patients attending on day of data collection (or all
patients if < 30 attend that day)—Ask how much it cost (in local currency) for
the patient to travel to the health facility for this visit.
Sum across patients of cost of travelling to care for this visit /number of
patients assessed.
Demographic indicator determinants
1. Average age of the patients.
2. Gender—The percentage of patients who are female.
Rationale
Source of data
Data collection
Computation
Age and gender may both affect adherence.
Pharmacy notes.
These can be noted while checking the 100 sampled patient records for the
adherence and defaulting indicators.
Age: Sum all ages in years divided by number of patients.
Gender: (Sum all female patients divided by sum all patients) ×100.
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