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

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How to Investigate Adherence to Antiretroviral Treatment in Health Facilities: Adherence Indicators 2C. Facility Interview Questionnaire FACILITY Questionnaire Facility Identifier Date Data Collector Name Facility Q1 Facility Type Teaching Hospital = TH, Referral hospital = RH; Zonal Hospital = ZH, District hospital = DH, other hospital = OH, Health Center or clinic = HC; Other = Other Q2 Facility Management Government = Gov; private = Priv; Mission = FBO; other NGO = NGO; other = Other Q3 Supply source ARVs Government = Gov; Global Fund = GF; PEPFAR = PEP; NGO = NGO; Other = Other Q4 Clinic Location Urban /rural Q5 Opening hours clinic Opening hours Pharmacy Days # Hrs Days # Hrs Monday Monday Tuesday Tuesday Wednesday Wednesday Thursday Thursday Friday: Friday: Saturday Saturday Sunday Sunday Total hours = Total hours = Q5b Were the opening times the same 6 months ago? Y/N Q5c If not how were they different? Q 6 Is the clinic open anytime at the weekend or in the evenings? Y / N (evening means at least a two hour session after five pm) Q 7 Is there a FUNCTIONING clinic attendance register showing all patients who visited each day? Q 8 Is there an appointment book/SYSTEM showing all patients due for clinic attendance each day? Q 9 I am interested to know how many HIV/AIDS patients you see in a week. Can I see the attendance register please? a) Check register for number in last 4 weeks (28 days) b) Divide by 4 to get average number per week = Note: If numbering a problem count for last complete week only Number pts in a week = This is all HIV/AIDS patients (not just those on ART) This is the clinician load, so we need clinic appointment book or record. This is not the pharmacy record. Q 10 How many Doctors and/or Clinical Officers seeing HIV/AIDS patients do you have during a normal clinic ? (Check while in the clinic) (include 'clinical' nurse if doing triage system) Q 11 Clinician patient load: # working Average number of HIV/AIDS Average # Clinicians patients seen per clinician hour = Divide Q9 by (Q5*Q10) How many of the following staff working directly with HIV/AIDS patients do you have during a normal clinic? (count one staff only once (Check while in the clinic) 11 # working nurses social workers Nutritionist counsellors pharmacists pharmaceutical technologist Other (specify) Total Average number HIV/AIDS patients per week per support staff, = Q9/Q11 = If community workers or volunteers attached describe here: 88
Appendix 2. Data Collection Forms FACILITY Interview Side 2 Q12 Do you have a copy of the national ART treatment guidelines? Y / N Q 13 Do you have a copy of a donor ART treatment guidelines? Y / N Q14 Do you have a copy of guidelines on ART storage? Y / N PATIENT CARE Q 15 Do you follow a clinical guideline for starting patients on ART? Y / N If so which guideline? Q 16 How many days supply of ARVs are usually given to new patients? Q 17 How many days supply of ARVs are usually given to experienced patients? Q 18 How often do you typically order a CD4 count? Pre-treatment assessment Routinely Every How many months? Monitoring of patients who deteriorate clinically Not applicable, CD4 counts are not done Q 19 What are criteria for ordering a viral load test? Pre-treatment assessment Routinely Every How many months? Monitoring of patients who deteriorate clinically Not applicable, viral loads are not done Q 20 Is there private space for Adherence Counseling? Y ? N (Check while walking around the clinic) (private space means a discreet area where a conversation with a patient cannot be overheard) Q 21 Does the ART program provide: Child Care? Y/N/S for sometimes: Food for patients? Y/N/S for sometimes: Q 22 Does the ART program have a formal system for linking patients with other persons living with HIV as support partners? Y/N/S for sometimes: Q 23 Does the ART program have connection with the local community? Y/N: (Churches or other organizations) Q 24 Do you have a functioning laboratory system for measuring CD4 counts, so that results can be ready for the patient's next routine visit? Y/N Q 25 Is both the test and transport for the test free for patients Y/N Patients have access to a laboratory (If Q23 is "Y" AND Q24 is"N" then Y, otherwise N) 89
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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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CHAPTER 2. CORE INDICATORS OF ADHER
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Chapter 2. Core Indicators of Adher
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Chapter 2. Core Indicators of Adher
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CHAPTER 3. INDICATORS FOR POSSIBLE
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Chapter 3. Indicators for possible
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CHAPTER 4. SURVEY DESIGN Sampling F
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Chapter 4. Survey Design Figure 1.
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CHAPTER 5. DATA COLLECTION TOOLS AN
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Chapter 5. Data Collection Tools an
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