Table 4 Use of nationally-designed forms for recording HIV treatment (ART) data
Name of form or register | Brief description of form | No. of ART (CCMT) sites using this form (n = 2) | No. of ART (DR) sites using this form (n = 2) |
|---|---|---|---|
For recording HIV treatment (ART) data-for M&E reporting | |||
ARV patient treatment monitoring register | This records individual patient data-ART regimen, CD4 and viral load levels, and patient weight. Data from this register are tallied on the ARV patient M&E and DORA tally sheet (described below). | 2 | 2 |
ARV patient M&E data elements collection tally sheet | This sheet tallies-by age, sex, and pregnancy status-No. eligible for ART, type of ART regimen. It records No. of activities and not individuals. | 0 | 0 |
ARV laboratory data collection tally sheet | This sheet tallies number of CD4 count and viral load tests done-those at staging visits (baseline) and at 6-month follow-up visits. Data are not patient-linked. | 1 | 0 |
ARV patient nutritional supplements tool | This form records the number of various nutritional supplements disbursed to HIV + patients, weight, and No. of deaths. | 0 | 0 |
For recording HIV treatment (ART) data-DORA reporting | Â | Â | |
ARV patient DORA data elements collection tally sheet | This form tallies the No. Of patients assessed for ART, commenced on ART, deregistered, and adherent to ART. It also records clinical and biological monitoring of ART patients. Data are activities and not patients. | 0 | 0 |
Daily stock-out control tool | This form records the number of days nutritional supplements and specified drugs are out of stock in any given month. | 1 | 0 |