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

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How to Investigate Adherence to Antiretroviral Treatment in Health Facilities: Adherence Indicators last 90 days. However, the pharmacist may know if there have been any stock outs. Therefore if the number of days in the last 90 days is impossible to find for each medicine, ask the pharmacist or dispenser whether there have been any stock outs in the last three months and answer Y/N. The calculations will be done automatically when the data is entered into the spreadsheet. 50
CHAPTER 6. PLANNING AND FIELD METHODS Preparations for Survey Surveys are most useful when they are designed to meet specific objectives. Managers and policy-makers responsible for administering an HIV/AIDS programme, or health providers responsible for supervising the quality of medical care in public sector ART facilities would be interested in the results of an adherence indicator survey. If the initiative for carrying out an adherence survey does not originate with such people, they should be involved in its design at an early stage. Adequate planning and preparation for the survey will increase the likelihood that data will be collected and recorded in a reliable way. Persons planning and carrying out an adherence indicators survey need a basic knowledge of pharmaceuticals, some understanding of the principles of sample surveys, and an appreciation of the logistical requirements for carrying out field studies. The indicators and methods recommended in this manual have been designed to minimize as far as possible the need for a high level of sophistication in these areas. Carrying out more in-depth follow-up activities, or designing and mounting an intervention, will in many cases require a higher level of technical expertise. Permissions and Approval Often this work will be carried out by or for the National AIDS Control Programme. If this is the case, they may not need any outside permission. If such a survey is being carried out by any other group, they will need letter of permission from the National Aids Control Programme documenting their approval. In addition, the survey group may need approval from an ethical review board. This will depend on the country. Select and Prepare Sample Sites Issues involved in the selection of an appropriate sample of facilities have been addressed in Chapter 4. Once facilities have been selected and staff trained, the field work can begin. One key to the success of a study is adequate preparation of sample sites. Preparation includes adequate notification to relevant authorities of the study’s purposes and methods. This increases the likelihood that the study results will be accepted and utilized. If possible, it is also helpful to visit each sample site beforehand. These visits can be used to promote the active cooperation of clinical and pharmacy staff. The logistical preparation can also be done during such preparatory visits. Study planners can identify the required sources of data at each facility, prepare them for use by the data collectors, and determine how the retrospective sample may be drawn and where the exit interviews can take place. 51
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ACKNOWLEDGEMENTS This manual has be
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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
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