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

CONTENTS
Acknowledgements .................................................................................................................. iii
Acronyms ................................................................................................................................... v
Introduction ................................................................................................................................ 1
Chapter 1. Overview of Manual ................................................................................................. 3
Field-Testing Methods ........................................................................................................... 4
Results .................................................................................................................................... 4
Conclusion from Feasibility Tests ......................................................................................... 6
Chapter 2. Core Indicators of Adherence .................................................................................. 7
Self Report-based Adherence Measures from Exit Interviews .............................................. 7
Dispensing-based Adherence Equals Measures ..................................................................... 7
Patient Attendance and Defaulting ........................................................................................ 7
Alternate Attendance Indicators ............................................................................................ 7
Self Report-Based Adherence Measures from Exit Interviews ............................................. 7
Chapter 3. Indicators for possible Determinants of Adherence ............................................... 13
Availability of ARVs and Other Key Medicines ................................................................. 13
Health Facility Accessibility and Infrastructure .................................................................. 13
Record Keeping ................................................................................................................... 13
Facility Indicators Determinants .......................................................................................... 14
Patient Care Indicator Determinants .................................................................................... 20
Demographic Indicator Determinants .................................................................................. 22
Chapter 4. Survey Design ........................................................................................................ 23
Sampling Facilities............................................................................................................... 23
Sampling Retrospective Patient Records ............................................................................. 23
Sampling for Exit Interviews ............................................................................................... 26
Chapter 5. Data Collection Tools and how to MODIFY, PRINT AND fill them ................... 27
Customize the survey forms................................................................................................. 27
Printing the Data Entry Sheets for data collection ............................................................... 29
Retrospective Dispensing Data ............................................................................................ 31
Exit Interviews ..................................................................................................................... 36
The Facility Interview Form ................................................................................................ 44
Filling in the Facility Questionnaire .................................................................................... 46
Chapter 6. Planning and Field Methods ................................................................................... 51
Preparations for Survey........................................................................................................ 51
Permissions and Approval ................................................................................................... 51
Select and Prepare Sample Sites .......................................................................................... 51
Recruit Survey Coordinator, Team Leaders, and Data Collectors ....................................... 52
Plan Data Collection Visits Schedule .................................................................................. 52
Create the Medicines Lists ................................................................................................... 53
Train Personnel .................................................................................................................... 53
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