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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Chapter 5<br />
Data collection <strong>to</strong>ols and how <strong>to</strong> modify, print and fill them in<br />
For each formulation <strong>of</strong> each medicine mentioned it is necessary <strong>to</strong> look at the s<strong>to</strong>ck cards<br />
for the last 90 days and see how many <strong>of</strong> these days the drug has been in s<strong>to</strong>ck and mark<br />
that in the appropriate column.<br />
Any s<strong>to</strong>ck outs in the last 90 days<br />
If the s<strong>to</strong>ck records are incomplete, it may be difficult or impossible <strong>to</strong> know the number <strong>of</strong><br />
days each medicine has been in or out <strong>of</strong> s<strong>to</strong>ck in the last 90 days. <strong>How</strong>ever, the pharmacist<br />
may know if there have been any s<strong>to</strong>ck outs. Therefore if the number <strong>of</strong> days in the last 90<br />
days is impossible <strong>to</strong> find for each medicine, ask the pharmacist or dispenser whether there<br />
have been any s<strong>to</strong>ck outs in the last three months and answer Y/N.<br />
The calculations will be done au<strong>to</strong>matically when the data are entered in<strong>to</strong> the spreadsheet.<br />
Filling in the retrospective dispensing data<br />
The data for filling in this form will normally have <strong>to</strong> be taken from pharmacy records. The<br />
clinical records may have the number <strong>of</strong> days prescribed, but will usually not include actual<br />
dispensing. <strong>How</strong>ever, if there are no coherent pharmacy records the prescribed data may<br />
suffice. It is necessary <strong>to</strong> find the date and the number <strong>of</strong> days <strong>of</strong> ARVs dispensed. If the<br />
patient is on more than one ARV and they are given for a different number <strong>of</strong> days, take the<br />
one with the least number <strong>of</strong> days dispensed.<br />
Filling in the forms<br />
Take the Retrospective Dispensing Data form. Each page has space for 25 patients, one<br />
patient <strong>to</strong> each row. To fill in information on 100 patients, 4 forms will be needed. The<br />
retrospective data collection form can be seen in Appendix 2A.<br />
On the written form, first, fill in the <strong>to</strong>p <strong>of</strong> the form with the most important information:<br />
The date <strong>of</strong> data collection.<br />
Facility name and number.<br />
The data collec<strong>to</strong>r’s name.<br />
Each column <strong>of</strong> the form has a letter above it, and directions for each column will be given in<br />
turn.<br />
A B C D E<br />
Seq. No. Patient identifier Age in years at index Gender Date initiation ARVs<br />
visit<br />
M/F<br />
1<br />
49