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

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How to Investigate Adherence to Antiretroviral Treatment in Health Facilities: Adherence Indicators Supervise survey o Data collectors and team leaders should have their per diems o Team leaders should have a mobile phone with air time and the telephone numbers of each facility and facility pharmacist • Supervise the actual survey, ensuring each day that all team leaders are doing well and sorting out any questions After the survey • After the survey, check again that all data has been collected, random sampling was used, and that the forms were completed correctly—also check any computations • Collect written reports from data collectors on the data collection process and in particular anything that will be important in interpreting the results Analyse aata • Provide copy of survey forms to data analyser to complete Report writing Present results summary forms 1–4 • Provide copy of summary forms, graphs, data analysis, and notes from data collectors to report writer • Oversee writing of report • Review report prior to finalization • Edit content and layout of report • Coordinate presentation/feedback of results 58
CHAPTER 7. TRAINING OF DATA COLLECTORS AND TEAM LEADERS If the information gained from this survey is to have any meaning, then it is essential that all data collectors have the same interpretation of the questions and the same way of asking questions in the interview. To ensure this, an intense training period is needed. During the training, each of the data collection tools needs going through column by column, question by question, during which time all the different ways of possibly interpreting the questions need to be discussed and a consensus reached. Some of the misunderstandings have been described in the instructions on how to fill in the form in chapter 4, such as writing times in minutes and not hours and minutes in the exit interview. If one person writes 1.5 (hours) and another writes 90 (minutes) for time to get to clinic, then the comparison is meaningless. Everyone must write in the same unit format. Similarly, if one person writes the number of tablets and another writes the number of days, again the comparison becomes meaningless. With the exit interviews; if one person asks a question in one way and another in another way, then the answers cannot be compared. Training and practice on the exit interview is essential. Remember— • You can only get meaningful data if all data collectors have the same understanding. • The skill of the facilitator for the training is to be able to imagine everything that can be misunderstood and discuss. • Assumed mutual understanding is a misunderstanding in the making. • If something can go wrong, it will go wrong. The facility interview will be filled in by the team leader only. This means that there needs to be time, at least half a day, for training the team leaders on the facility form. Training Team Leaders before Data Collectors It may be a good idea to hold a two-day training for team leaders and then have the team leaders act as facilitators for the three-day training of the data collectors. The syllabi will be similar, but more emphasis is needed on the facility questionnaire with the team leaders as they will be responsible for carrying that out. The two sample syllabi are described in tables 14 and 15 below. Typically, the training of team leaders may take one and a half to two days and for data collectors will take two and a half to three days. The vital thing to remember throughout is that all situations that will be encountered need to be understood the same way by all team leaders and all data collectors. Some PowerPoint slides are included on the CD-ROM which may be helpful, but the training is possible without them if everyone has copies of the forms under discussion and the manual. 59
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ACKNOWLEDGEMENTS This manual has be
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ACRONYMS AIDS ART ARV HIV IAA IHCAR
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CONTENTS Acknowledgements .........
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INTRODUCTION Collecting data on adh
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CHAPTER 1. OVERVIEW OF MANUAL The 2
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Chapter 1. Overview of Manual Table
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