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

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Chapter 5 Data collection tools and how to modify, print and fill them in For each formulation of each medicine mentioned it is necessary to look at the stock cards for the last 90 days and see how many of these days the drug has been in stock and mark that in the appropriate column. Any stock outs in the last 90 days If the stock records are incomplete, it may be difficult or impossible to know the number of days each medicine has been in or out of stock in the last 90 days. However, the pharmacist may know if there have been any stock outs. Therefore if the number of days in the last 90 days is impossible to find for each medicine, ask the pharmacist or dispenser whether there have been any stock outs in the last three months and answer Y/N. The calculations will be done automatically when the data are entered into the spreadsheet. Filling in the retrospective dispensing data The data for filling in this form will normally have to be taken from pharmacy records. The clinical records may have the number of days prescribed, but will usually not include actual dispensing. However, if there are no coherent pharmacy records the prescribed data may suffice. It is necessary to find the date and the number of days of ARVs dispensed. If the patient is on more than one ARV and they are given for a different number of days, take the one with the least number of days dispensed. Filling in the forms Take the Retrospective Dispensing Data form. Each page has space for 25 patients, one patient to each row. To fill in information on 100 patients, 4 forms will be needed. The retrospective data collection form can be seen in Appendix 2A. On the written form, first, fill in the top of the form with the most important information: The date of data collection. Facility name and number. The data collector’s name. Each column of the form has a letter above it, and directions for each column will be given in turn. A B C D E Seq. No. Patient identifier Age in years at index Gender Date initiation ARVs visit M/F 1 49
How to Investigate Adherence to Antiretroviral Treatment: An Indicator-Based Approach Column B For each patient always start by writing the patient identification number down. If it is necessary to turn the sheet over make sure to again write the patient identification number down on the relevant row. This helps avoid getting rows confused. Column C Find the age of the patient in years at the index visit. If the patient is a child, make sure the age is in years and NOT months. If the child is younger than two years old, take the age to the nearest six months (0.5, 1, 1.5, 2). Otherwise, take the age in years. Column D Write the gender of the patient as M for Male or F for Female. Column E Find the date ARVs were initiated and write down the date in (dd/mm/yy) format. It is important to write down a date here because many calculations depend upon it. If you cannot find an exact date, write down a date that is approximately correct. G H J K N O Index visit dispensing Visit 2 dispensing Visit 3 dispensing Index visit Date any ARV drugs dispensed (dd/mm/yy) # days of ART dispensed on that day Date any ARV drugs dispensed (dd/mm/yy) # days of ART dispensed on that day Date any ARV drugs dispensed (dd/mm/yy) # days of ART dispensed on that day Column G The index visit date is the date the patient had medicine dispensed in the month seven months ago, which was the date the patient was selected for (as in Table 2). Write down the date in dd/mm/yy format (for example, 12 March 2004 would be 12/03/04). Column H Write down the number of days of ARVs dispensed. (Note: Do not write down the number of pills. Write the number of days of pills dispensed.) 50
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Page 7 and 8: CONTENTS Acknowledgements .........
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A.3 APPENDIX 3 --- Training slides
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A.4 APPENDIX 4 --- Report template
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How to investigate levels of Adherence to antiretroviral ... - INRUD

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