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

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CHAPTER 7. TRAINING OF DATA COLLECTORS AND TEAM LEADERS<br />

If the information gained from this survey is <strong>to</strong> have any meaning, then it is essential that all<br />

data collec<strong>to</strong>rs have the same interpretation of the questions and the same way of asking<br />

questions in the interview. To ensure this, an intense training period is needed.<br />

During the training, each of the data collection <strong>to</strong>ols needs going through column by column,<br />

question by question, during which time all the different ways of possibly interpreting the<br />

questions need <strong>to</strong> be discussed and a consensus reached. Some of the misunderstandings have<br />

been described in the instructions on how <strong>to</strong> fill in the form in chapter 4, such as writing<br />

times in minutes and not hours and minutes in the exit interview. If one person writes 1.5<br />

(hours) and another writes 90 (minutes) for time <strong>to</strong> get <strong>to</strong> clinic, then the comparison is<br />

meaningless. Everyone must write in the same unit format. Similarly, if one person writes the<br />

number of tablets and another writes the number of days, again the comparison becomes<br />

meaningless. With the exit interviews; if one person asks a question in one way and another<br />

in another way, then the answers cannot be compared. Training and practice on the exit<br />

interview is essential.<br />

Remember—<br />

• You can only get meaningful data if all data collec<strong>to</strong>rs have the same understanding.<br />

• The skill of the facilita<strong>to</strong>r for the training is <strong>to</strong> be able <strong>to</strong> imagine everything that can<br />

be misunders<strong>to</strong>od and discuss.<br />

• Assumed mutual understanding is a misunderstanding in the making.<br />

• If something can go wrong, it will go wrong.<br />

The facility interview will be filled in by the team leader only. This means that there needs <strong>to</strong><br />

be time, at least half a day, for training the team leaders on the facility form.<br />

Training Team Leaders before Data Collec<strong>to</strong>rs<br />

It may be a good idea <strong>to</strong> hold a two-day training for team leaders and then have the team<br />

leaders act as facilita<strong>to</strong>rs for the three-day training of the data collec<strong>to</strong>rs. The syllabi will be<br />

similar, but more emphasis is needed on the facility questionnaire with the team leaders as<br />

they will be responsible for carrying that out. The two sample syllabi are described in tables<br />

14 and 15 below. Typically, the training of team leaders may take one and a half <strong>to</strong> two days<br />

and for data collec<strong>to</strong>rs will take two and a half <strong>to</strong> three days.<br />

The vital thing <strong>to</strong> remember throughout is that all situations that will be encountered need <strong>to</strong><br />

be unders<strong>to</strong>od the same way by all team leaders and all data collec<strong>to</strong>rs.<br />

Some PowerPoint slides are included on the CD-ROM which may be helpful, but the training<br />

is possible without them if everyone has copies of the forms under discussion and the manual.<br />

59

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