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

How to Investigate Adherence to Antiretroviral Treatment:
An Indicator-Based Approach
Opening hours PHARMACY
Days
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Total hours =
Number of hours
Q5b.
Q5c.
Check whether these hours have changed in the last six months because we are
looking at retrospective records over the last six months (for example, the clinic may
have only been open one day a week and is now open five). Answer Y/N.
If the hours have changed, explain the difference.
Q6. Is the clinic open at a convenient time? Answer Y/N.
A weekend or evening clinic would be easier to attend for those in regular employment. We
define open as at least a two-hour session. This must be on Saturday or Sunday or in the
evening after 5 p.m.
Q7. You must see the attendance register. Check on how well it was filled in for the last
clinic day. If well filled in, answer yes, otherwise no.
Q8. You must see the appointment book. Check for who is expected on the day of data
collection. Check whether you can see if everyone who was due on the last clinic day
attended or not. If well filled in, answer yes, otherwise no.
Q9. Fill in the number of patients seen in a week.
The number of patients with HIV/AIDS seen in a week should include all AIDS patients, not
just those on ARVs.
The number should be found from records, not just from what the manager estimates. Check
the register for the number in the last 4 weeks (28 days) and divide by 4 to get average
number per week. If numbering is a problem, count for last complete week only.
Q10. Write down the number of clinicians present at a typical clinic.
Calculating the number of doctors or clinical officers in a normal clinic presents some
complications:
They should only be counted if they are seeing HIV/AIDS patients (not general
patients).
One difficulty is to decide who to include as a doctor or clinical officer. If
nurses are doing triage or prescribing, then they should be included.
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