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
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<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 />
After printing, pho<strong>to</strong>copy the number <strong>of</strong> forms you need, ensuring back-<strong>to</strong>-back copying<br />
where relevant:<br />
1. Facility questionnaire: sides 1 and 2 should be pho<strong>to</strong>copied back-<strong>to</strong>-back and side 3<br />
on a separate sheet <strong>of</strong> paper.<br />
2. Exit interviews: this should be on one piece <strong>of</strong> paper; sides 1 and 2 back-<strong>to</strong>-back.<br />
3. Retro dispensing data: for this form there are eight sheets al<strong>to</strong>gether. You are<br />
requested <strong>to</strong> complete 100 records, if possible. Data for patients 1-25 should be back<strong>to</strong>-back<br />
and will take up two pages. Similarly for the two forms with patients 26-50,<br />
51-75, and 76-100.<br />
Quantities <strong>of</strong> forms needed:<br />
You will require forms for the following purposes:<br />
For training data collec<strong>to</strong>rs:<br />
You will need at least two <strong>of</strong> each form for each participant while training.<br />
For data collection:<br />
For data collection it is helpful <strong>to</strong> have enough forms for everyone <strong>to</strong> work on and<br />
one spare set for the facility manager in case they would like them.<br />
Types <strong>of</strong> forms:<br />
For the facility interview:<br />
You should only need two per facility: one for the team leader <strong>to</strong> do the interviews<br />
and one for the facility manager if needed.<br />
For the exit and retrospective forms:<br />
It is helpful <strong>to</strong> have one per data collec<strong>to</strong>r per facility and one more for the facility<br />
manager.<br />
Filling in the forms<br />
Filling in the facility questionnaire form<br />
Several questions gather data about the infrastructure at each health facility. These include<br />
the presence or absence <strong>of</strong> a private space for counselling and a labora<strong>to</strong>ry for CD4 or viral<br />
load testing. In addition, since consistent availability <strong>of</strong> medicines is a key determinant <strong>of</strong><br />
adherence, several indica<strong>to</strong>rs measure the current and recent availability <strong>of</strong> ARVs and other<br />
key medicines <strong>to</strong> treat or prevent HIV-associated illnesses. The way <strong>to</strong> do this is <strong>to</strong> interview<br />
the facility manager and pharmacist, visit the pharmacy and look at the attendance register,<br />
if available, and fill in the facility data collection form.<br />
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