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

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How to Investigate Adherence to Antiretroviral Treatment in Health Facilities: Adherence Indicators 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 can’t find an exact date, write a date down 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.) Columns J and K • Write the date of the next visit and the number of days of pills dispensed Columns N and O • Write the date of the next visit and the number of days of pills dispensed 32
Chapter 5. Data Collection Tools and How to Fill Them Continue to write down these details for each visit up to the present day. Normally it will be 7 visits or less but there are spaces for 12 visits in case it is necessary. When you turn over the form, do not forget to write the patient identification number on the second side. Now look at the patient attendance four months ago as shown in table 6 on page 24 and look at the appointment the patient was given at that time at that attendance. If the data collection is in April 2008, look to see if the patient attended in December 2007. If so, what was the date of the next appointment given at the December visit. Then look and see if the patient attended that next appointment. BX BY BZ CA If yes If Missed If Missed Did patient attend 3 months ago Attended next appt after visit 3 months ago Attended in next 3 days after missed appt Attended in next 30 days after missed visit Column BX • Did the patient attend around that time (e.g., December 2007)? Answer Yes or No. If the answer was No, you have finished. Leave all other columns (BY, BZ, and CA) blank. If the answer was Yes, then look for the date the patient was given for their next appointment after that and go on to the next columns. Column BY • Did the patient attend on or before the date of the given next appointment (Yes/No)? (For example, did the patient attend the appointment given during the December 2007 visit?) Note: If there was no appointment given, you can see how many days of ARVs were given and calculate whether the patient attended on or before the last day that the pills would run out. Column BZ • If the patient missed their appointment did they attend within the next three days of the missed appointment? (Yes/No). Note: If the appointment was on the 11th and they came on the 14th, the answer would be Yes. If they attended on the 15th, the answer would be No. 33
Page 1 and 2: How to investigate Adherence to Ant
Page 3 and 4: ACKNOWLEDGEMENTS This manual has be
Page 5 and 6: ACRONYMS AIDS ART ARV HIV IAA IHCAR
Page 7 and 8: CONTENTS Acknowledgements .........
Page 9 and 10: INTRODUCTION Collecting data on adh
Page 11 and 12: CHAPTER 1. OVERVIEW OF MANUAL The 2
Page 13 and 14: Chapter 1. Overview of Manual Table
Page 15 and 16: CHAPTER 2. CORE INDICATORS OF ADHER
Page 17 and 18: Chapter 2. Core Indicators of Adher
Page 19 and 20: Chapter 2. Core Indicators of Adher
Page 21 and 22: CHAPTER 3. INDICATORS FOR POSSIBLE
Page 23 and 24: Chapter 3. Indicators for possible
Page 31 and 32: CHAPTER 4. SURVEY DESIGN Sampling F
Page 33 and 34: Chapter 4. Survey Design Figure 1.
Page 35 and 36: CHAPTER 5. DATA COLLECTION TOOLS AN
Page 37 and 38: Chapter 5. Data Collection Tools an
Page 39: Chapter 5. Data Collection Tools an
Page 59 and 60: CHAPTER 6. PLANNING AND FIELD METHO
Page 61 and 62: Chapter 6. Planning and Field Metho
Page 67 and 68: CHAPTER 7. TRAINING OF DATA COLLECT
Page 69 and 70: Chapter 7. Training of Data Collect
Page 71 and 72: CHAPTER 8. DATA ENTRY AND DATA PROC
Page 73 and 74: Chapter 8. Data Entry and Data Proc
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