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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 />

o<br />

Example 3—If there are four doc<strong>to</strong>rs or clinical officers present for two<br />

days, and one for three days the number would be (4 + 4 + 1 + 1 +<br />

1)/5=11/5 = 2.2<br />

Q10, cont. Then the calculation for the number of patients per clinician per hour is (number<br />

of patients seen in a week) divided by (number of clinicians in an average clinic × the<br />

number of hours the clinic is open in a week). (This will be calculated au<strong>to</strong>matically<br />

when the data is entered.)<br />

Q11. The purpose here is <strong>to</strong> find the number of non clinicians who work in an average clinic.<br />

If one person does more than one job, it is important <strong>to</strong> only count them once. So, if a<br />

nurse also does counselling, then she or he should only be counted once. If the person<br />

works in the community and not in the clinic, she or he should not be counted but<br />

should be mentioned below. Only paid professional staff based in the facility should be<br />

counted, so this does not include cleaners for example.<br />

<strong>How</strong> many of the following staff working directly with HIV/AIDS<br />

patients are present during a normal clinic? (Count each staff<br />

member only once while in the clinic.)<br />

Staff<br />

Nurses<br />

Social workers<br />

Nutritionist<br />

Counsellors<br />

Pharmacists<br />

No. Working<br />

Pharmaceutical technologist<br />

Other (specify)<br />

Q11, cont. Then the calculation for the number of HIV/AIDS patients per week per support<br />

staff is calculated by dividing the number of patients in a week by the number of<br />

support staff. (This will be calculated au<strong>to</strong>matically when the data is entered.)<br />

Questionnaire Side Two<br />

Q12-14. For each question, enter Y/N—You must be able <strong>to</strong> see a copy of<br />

each guidelines asked for <strong>to</strong> mark a yes—t is not enough <strong>to</strong> be <strong>to</strong>ld there is one.<br />

Q15. If the manager says a guideline is followed <strong>to</strong> start a patient on ART, then write Y and<br />

name the guideline in the next square. Otherwise write N.<br />

Q16. Ask how many days supply of ARVs are usually given <strong>to</strong> patients during their first<br />

month of treatment.<br />

48

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