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PDF File - hivpolicy.org

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APPENDIX1a4. a) How often do they visit you each week? (tick one)oooooless than onceoncetwicemore than twicewhenever necessaryb) How do you feel about the frequency of visits?(tick one)oootoo oftennot often enoughabout rightc) How often would you like to be visited by the Team?Referral5. a) Has the Home Care Team ever taken or sent the patient to a healthcentre, a hospital or a testing centre? YES / NO (circle one)If YES:b) When was the last time:c) Which facility was the patient sent or taken to?d) Who accompanied the patient?e) What were the good things which happened during the visit?f) What were the not-so-good things which happened during the visit?g) What difference (if any) did the Home Care Team make to how thepatient was treated during the visit?Questions specifically to the patientImpact6. a) Have you been diagnosed as HIV+? YES / NO (circle one)If YES:b) When were you diagnosed as HIV+?pg 81

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