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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 />

Retrospective Dispensing Data (Side 2)<br />

A B AH AI AL AM AP AQ AT AU AX AY BX BY BZ CA<br />

Seq.<br />

No.<br />

Patient<br />

identifier<br />

Visit 8 Dispensing<br />

Date any<br />

ARV drugs<br />

dispensed<br />

(dd/mm/yy)<br />

# days of<br />

ART<br />

dispensed<br />

on that day<br />

Visit 9 Dispensing<br />

Date any<br />

ARV drugs<br />

dispensed<br />

(dd/mm/yy)<br />

# days of<br />

ART<br />

dispensed<br />

on that day<br />

Visit 10 Dispensing Visit 11 Dispensing Visit 12 Dispensing<br />

Date any<br />

ARV drugs<br />

dispensed<br />

(dd/mm/yy)<br />

# days of<br />

ART<br />

dispensed<br />

on that day<br />

Date any<br />

ARV drugs<br />

dispensed<br />

(dd/mm/yy)<br />

# days of<br />

ART<br />

dispensed<br />

on that day<br />

Date any<br />

ARV drugs<br />

dispensed<br />

(dd/mm/yy)<br />

# days of<br />

ART<br />

dispensed<br />

on that day<br />

Did patient<br />

attend 3<br />

months ago<br />

(Y/N)<br />

If yes If Missed If Missed<br />

Attended in<br />

next 3 days<br />

Attended<br />

next appt<br />

after visit 3<br />

months ago<br />

(Y/N)<br />

after missed<br />

appt (Y/N)<br />

Attended in<br />

next 30 days<br />

after missed<br />

visit (Y/N)<br />

1<br />

2<br />

3<br />

4<br />

5<br />

6<br />

7<br />

8<br />

9<br />

10<br />

11<br />

12<br />

13<br />

14<br />

15<br />

16<br />

17<br />

18<br />

19<br />

20<br />

21<br />

22<br />

23<br />

24<br />

25<br />

84

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