How to investigate Adherence to Antiretroviral Treatment ... - INRUD

How to investigate Adherence to Antiretroviral Treatment in Health Facilities: Adherence Indicators
Rationale
Source of data
Data collection
Computation
Comments
To provide optimal care in line with national policies it is advantageous to
have guidelines that can be followed
Facility interview
While doing the facility interview ask to see copies of the different
guidelines. If you can’t hold them in your hand they are not there.
National ART treatment guidelines—The presence of a national ART
treatment guidelines
Donor ART treatment guidelines—The presence of a donor ART treatment
guidelines
ART storage guidelines—The presence of an ART storage guidelines
Clinical guidelines for starting patients on ART—Whether the facility
manager says that the facility follows the clinical guidelines for starting
patients on ART
The presence of written guidelines does not mean they are being followed.
2. Quality of Treatment
10. Adherence to STGs—Percent of patients whose current treatment is consistent with
national STGs
Rationale Patients treated according to established guidelines for ARVs are more
likely to be adherent to care
Source of data Clinical records for the sample of 100 patients in indicators 4–10
Data collection Patient clinical records are examined to determine if current treatment is
consistent with national STG for selection and dosing of ARVs
Computation (Number of patients whose last treatment was consistent with STGs/number
of patients records examined) × 100
Comments
Need to prepare a list of recommended STG regimens in the system of care.
This may be difficult for data collectors to record reliably. In practice, it
may be better to record each patient’s regimen for later evaluation.
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