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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 />

Column F<br />

When did you start on the medicine for HIV/AIDS?<br />

Ask when they started ART and write how many months on ARV treatment.<br />

H I J<br />

Cost home <strong>to</strong> clinic Time home <strong>to</strong> clinic (in mins) Time in clinic <strong>to</strong>day (in mins)<br />

Column H<br />

Did it cost you anything <strong>to</strong> get <strong>to</strong> the clinic <strong>to</strong>day?<br />

If so, how much?<br />

Ask how much it cost <strong>to</strong> come <strong>to</strong> the clinic <strong>to</strong>day from their house or place <strong>of</strong> work and<br />

write in local currency.<br />

Column I<br />

<strong>How</strong> long did it take you <strong>to</strong> travel <strong>to</strong> the clinic <strong>to</strong>day?<br />

Ask how long it <strong>to</strong>ok <strong>to</strong> come <strong>to</strong> the clinic <strong>to</strong>day from their house or place <strong>of</strong> work and<br />

write in minutes (not hours and minutes). If they don’t know the answer, try and find<br />

when they left. You may be able <strong>to</strong> relate it <strong>to</strong> some other event like dawn or prayers.<br />

Then try and find when they arrived perhaps in relation <strong>to</strong> clinic opening time. Then you<br />

can work it out.<br />

In some cases the patient may have travelled from a remote area the day before <strong>to</strong> stay<br />

with a relative overnight and come <strong>to</strong> the clinic in the morning, or even arrived earlier<br />

before the appointment <strong>to</strong> do other things, such as sell produce. In these cases take in<strong>to</strong><br />

account the travel time from the remote area as well as the travel time from the place<br />

stayed in locally, but do not take in<strong>to</strong> account the rest <strong>of</strong> the time. Calculate <strong>to</strong>tal travel<br />

time in minutes.<br />

Column J<br />

What time did you arrive at the clinic <strong>to</strong>day?<br />

Calculate <strong>to</strong>tal time in clinic during this visit in minutes based on the time it is when<br />

asking the question. It is useful before the interview <strong>to</strong> work out how long it is now since<br />

the beginning <strong>of</strong> the clinic, so that it is quicker <strong>to</strong> calculate how long the patient has been<br />

there. Write in minutes.<br />

If patient doesn't know the time, try and relate it <strong>to</strong> something else such as the<br />

beginning <strong>of</strong> clinic, and calculate the time.<br />

(For information only) May I see all the medicines you were given <strong>to</strong>day and any<br />

prescriptions you may have been given?<br />

Ask <strong>to</strong> see all the ARVS and non-ARVS dispensed and the prescriptions for all drugs<br />

prescribed. If the patient has no prescription, just look at the medicines given.<br />

55

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