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

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<strong>How</strong> <strong>to</strong> Investigate <strong>Adherence</strong> <strong>to</strong> <strong>Antiretroviral</strong> <strong>Treatment</strong> in Health Facilities: <strong>Adherence</strong> Indica<strong>to</strong>rs<br />

Column C<br />

• Note gender (write male or female).<br />

Column D<br />

What is your occupation?<br />

• The main point of this question is <strong>to</strong> get an answer <strong>to</strong> the next question. If the patient is a<br />

child who does not attend school yet, his or her occupation can be preschool, if the child<br />

is in school, the occupation can be pupil. Housewife may be an occupation depending on<br />

culture.<br />

Column E<br />

With your illness, are you now able <strong>to</strong> actively continue with your normal<br />

activities?<br />

• Write Y for yes or N for no. If the person is a child, a mother or caregiver knows the<br />

appropriate level of activity of a child that age<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? 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 of 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 of 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 />

38

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