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

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CONTENTS<br />

Acknowledgements ........................................................................................................................... iii<br />

Acronyms .............................................................................................................................................. v<br />

Introduction .......................................................................................................................................... 1<br />

CHAPTER 1 --- Overview <strong>of</strong> the manual ......................................................................................... 5<br />

Field-testing methods .......................................................................................................................... 6<br />

Results .................................................................................................................................................... 6<br />

Conclusion from feasibility tests ........................................................................................................ 8<br />

CHAPTER 2 --- Core indica<strong>to</strong>rs <strong>of</strong> adherence .................................................................................. 9<br />

Self report-based adherence measures from exit interviews ......................................................... 9<br />

Dispensing-based adherence equals measures ................................................................................ 9<br />

Patient attendance and defaulting ..................................................................................................... 9<br />

Alternate attendance indica<strong>to</strong>rs ......................................................................................................... 9<br />

Self report-based adherence measures from exit interviews ......................................................... 9<br />

CHAPTER 3 --- Indica<strong>to</strong>rs for possible determinants <strong>of</strong> adherence ........................................... 15<br />

Facility indica<strong>to</strong>rs determinants ...................................................................................................... 16<br />

Patient care indica<strong>to</strong>r determinants ................................................................................................ 22<br />

Demographic indica<strong>to</strong>r determinants ............................................................................................. 24<br />

CHAPTER 4 --- Survey design ......................................................................................................... 25<br />

Sampling facilities .............................................................................................................................. 25<br />

Sampling retrospective patient records .......................................................................................... 25<br />

Conclusion .......................................................................................................................................... 28<br />

Sampling for exit interviews ............................................................................................................ 29<br />

CHAPTER 5 --- Data collection <strong>to</strong>ols and how <strong>to</strong> modify, print and fill them in ..................... 31<br />

Overview ............................................................................................................................................. 31<br />

Cus<strong>to</strong>mization .................................................................................................................................... 32<br />

Accessing the data entry forms ........................................................................................................ 37<br />

Printing data entry sheets for data collection ................................................................................ 41<br />

Filling in the forms ............................................................................................................................. 42<br />

Filling in the facility questionnaire form ........................................................................................ 42<br />

Filling in the retrospective dispensing data ................................................................................... 49<br />

Filling in the forms ............................................................................................................................. 49<br />

Filling in the exit interview forms ................................................................................................... 52<br />

Some comments about workflow .................................................................................................... 59<br />

CHAPTER 6 --- Planning and field methods ................................................................................. 60<br />

Preparations for survey ..................................................................................................................... 60<br />

Permissions and approval ................................................................................................................ 60<br />

Select and prepare sample sites ....................................................................................................... 60<br />

Recruit survey coordina<strong>to</strong>r, team leaders, and data collec<strong>to</strong>rs ................................................... 61<br />

vi

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