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

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How to Investigate Adherence to Antiretroviral Treatment in Health Facilities: Adherence Indicators Filling in the Facility Questionnaire The facility questionnaire can be seen in Appendix 2c. Write in the shaded boxes only Questionnaire Side One As for the other forms, fill in the facility identifier, the date of data collection, the data collector’s name, and the facility name. Facility Identifier Date Data Collector Name Facility Q1. Facility type Q2. Facility management Q3. Supply source ARVs Q4. Clinic location Q1. Fill in the type of facility as described Q2. Fill in the type of facility management as described Q3. Fill in the source of ARVs for the facility management as described Q4. Fill in whether the facility setting is urban or rural Q5. Fill in the number of hours the clinic and ARV pharmacy is open each day. The opening hours of the clinic and pharmacy may be different, if so, fill in both; otherwise just fill in the clinic hours. Opening Hours of Clinic Monday Tuesday Wednesday Thursday Friday Saturday Sunday Days Total hours = No. of Hrs 46
Chapter 5. Data Collection Tools and How to Fill Them Q5b. Check whether these hours have changed in the last six months because we are looking at retrospective records over the last six months (for example, the clinic may have only been open one day a week and is now open five). Answer Y/N. Q5c. If the hours have changed, explain the difference. Q6. Is the clinic open at a convenient time? Answer Y/N. A weekend or evening clinic would be easier to attend for those in regular employment. We define open as at least a two-hour session. This must be on Saturday or Sunday or in the evening after 5 p.m. Q7. You must see the attendance register. Check for how well it was filled-in for the last clinic day. If well filled in, answer yes, otherwise no. Q8. You must see the appointment book. Check for who is expected on the day of data collection. Check whether you can see if everyone who was due on the last clinic day attended or not. If well filled-in, answer Yes, otherwise No. Q9. Fill in the number of patients seen in a week The number of patients with HIV/AIDS seen in a week should include all AIDS patients, not just those on ARVs. The number should be found from records, not just from what the manager estimates. Check register for the number in last 4 weeks (28 days) and divide by 4 to get average number per week. If numbering is a problem, count for last complete week only. Q10.Write down the number of clinicians present at a typical clinic The number of doctors or clinical officers in a normal clinic presents some complications— • They should only be counted if they are seeing HIV/AIDS patients (not general patients) • One difficulty is to decide who to include as a doctor or clinical officer. If nurses are doing triage or prescribing, then they should be included. • If a different number attend on different days or parts of days, add up the number for each clinic and divide by the number of clinics. o Example 1—If there are four days when there are two doctors or clinical officers, and on the fifth day, two extras specialists attend, then we would add up each day and divide by five. This would be (2 + 2 + 2 + 2 + 4)/5 = 12/5 = 2.4. o Example 2—There are three mornings when there are three doctors or clinical officers, two mornings with two doctors, and every afternoon there is one doctor. Then this would be 10 sessions (5 morning sessions and 5 afternoon sessions) with (3 + 3 + 3 + 2 + 2 + 1 + 1 + 1 + 1 + 1 + 1)/10 = 19/10 = 1.9. 47
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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.
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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
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