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1

Exit Interviews

Adherence Assessment Survey

Exit 1

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Purpose

The main reason is to ask for self report on adherence

But interview will also check for— how long patient spent at the clinic how long patient took to travel to the clinic and

how much it cost how many of the patient’s prescribed ARVs and

other drugs were actually dispensed whether the medicines are correctly labelled whether the patient knows how to take the

medicine correctly These questions provide information on possible

determinants of adherence

Exit 2

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Sampling

Convenience sample Goal: 30 interviews of patients who are on

ART as they leave the clinic (except those who started on the day of data collection)

If there are less than 30 patients that day, then all should be interviewed

Each interview takes approximately 10 minutes; therefore, if patients come in a rush, it will be necessary for different numbers of data collectors to be interviewing at different times of day

Exit 3

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Location

The last point of call for the patient is usually the dispensary

It is challenging to find a suitable place for the interviews because it should be— Close to the dispensary Afford enough privacy Allow interviewer and interviewee to sit

down Have enough space so that more than one

interview at a time can be conducted

Exit 4

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How to Behave

It is important to be pleasant and polite You should speak in a language well known

to the patient—do not be officious, dress in a white coat, or speak with technical words

You must put the patient at ease if you wish to get real information

The main point is to build a trust so that when you get to the final questions on whether the patient has missed any doses in the last three days, he or she they will give you an honest answer

Exit 5

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The Exit Interview—Introduction

The patient is under no obligation to speak to you, so it is important to introduce yourself with the important points

You are working with the MOH to try and help to improve services for people taking ARVs

It will only take a few minutes It is confidential. No harm or change will

follow to the patient or clinic staff as a result of participation

The patient may stop the interview at any time

Exit 6

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A Typical Introduction

“Good Morning. My name is……… and I’m working with the Ministry of Health to try and help to improve services for ARVs in the country. I would like to speak to you for a few minutes about your experience in the clinic today and the medicines you are taking. All the information you give me will be entirely confidential so no one will know identities. It shouldn’t take more than 10 minutes. Would you mind speaking with me?”

EVERYONE SHOULD PRACTICE THIS IN LOCAL LANGUAGE

Exit 7

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Exit Interview Form

Take the manual (Chapter 4) and go over filling in the form, column by column Discuss how this would be asked in local

language Discuss what to write down

Have two volunteers role play the interview in front of everyone.

Split into pairs and interview each other Keep doing the exercises until everyone has

a uniform way of asking the questions and is comfortable with the procedures

Exit 8

Exit Interview Form-1

DATA COLLECTION FORM: EXIT INTERVIEWS

Date Facility #

A B C D E F

Pt #

Age in

YrsGenderM / F Occupation

Normal activity

Y / N

Months on trt.

1          

2          

3          

Using chapter 4 of the manual to guide you, go through the guide to filling in the top of the form and each of the

columns

Exit 9

Exit Interview Form -2

Facility Name__________________

___

H I J K L M N

Cost home to

clinic

Time Home to clinic (in

mins)

Time in Clinic

today (in mins)

All ARVS dispensed Y/

N

All Non ARVS

dispensed

Y / N

All ARVs well

labelled Y/N

All other Meds well

labelled Y / N

             

             

             

             

Exit 10

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Exit Interview Form -3

DATA COLLECTION FORM: EXIT INTERVIEWS side 2

       

O P Q R

Name of first ARV in patient regimen

# times per day

pt knows # times per day

Y/N

# Doses missed in

last 3 days       

       

       

       

Exit 11

Exit Interview Form 4

AH

Codes for Column AG

 

1 = Toxicity-side effect

2 = Shared with others

3 = Forgot

4 = Felt better

5 = Too ill

6 = Stigma

7 = Drug out of stock

8 = Patient ran out of

pills or lost them

9 = Travel problems

10 = Inability to pay

11 = Alcohol

12 = Depression

13 = Took Holy Waters

14 = Fasting

15 = Change regimen

16 = Other (specify column AG)

Exit 12

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Exit Interview Form

AF AG

Reason for Missing doses (Code 1-15)

If "Other," then specify reason for missing doses

   

   

   

Exit 13