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Dispensing 1. Adherence Assessment Survey. The Dispensing Based Retrospective Data Collection. Dispensing 2. The Dispensing-based Retrospective Data Collection. The main purpose of this exercise is to find all the adherence indicators except the self report of the exit interview.
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Dispensing 1 Adherence Assessment Survey The Dispensing Based Retrospective Data Collection
Dispensing 2 The Dispensing-based Retrospective Data Collection The main purpose of this exercise is to find all the adherence indicators except the self report of the exit interview. As such, it is the single most important exercise of the survey.
Dispensing 3 Sampling 100 Patient Records • The goal is to follow 100 patient records for six months • Therefore, the sample should be of patients who attended eight months before • For example, the data collection is during October, so sample patients who attended during March • If the patient attended end of March, then six months is completed at the end of September • It is advisable to sample 120 records to end with 100 usable ones
Dispensing 4 Sampling 100 Patient Records
Dispensing 5 Retrospective Sampling Methods—Examples of Different Situations • Functioning attendance register and patient identification numbers • There is an attendance register, but it does not distinguish between those on ART and those not on ART. However, there is an ART Initiation Register • There is no attendance register, and no ART Initiation Register, but patient identifier number is in order of initiation • There is no attendance register, no ART Initiation Register, and patient identification number is not in order of ART initiation.
Dispensing 6 Methods of Retrospective Sampling-1 No
Dispensing 7 Methods of Retrospective Sampling-2 No
Dispensing 8 Retrospective Sampling methods • Any set of circumstances may be met in practice • So far (after 80 facilities in 4 countries), it has always been possible to devise a sensible system for sampling records • You may need to be creative • The key is to understand the recording and storage systems for both the pharmacy records and the attendance register information
Dispensing 9 Retrospective Form Take the manual (Chapter 4) and go over filling in the form, column by column.
Dispensing 10 Retrospective Form
Dispensing 11 Retrospective Form
Dispensing 12 Looking at Attendance The longest appointments are for three months This means we want to look at the appointment more than three months ago. • For example, the data collection is during October • Look at attendance during June • Find what date the next appointment was given during this attendance • Look at actual attendance and decide whether it was on or before the due date, within 3 days and within 30 days of due date and fill in accordingly
Dispensing 13 Looking at Attendance