Transcript Exit-Interviews

Exit 1
-IAA
Adherence Assessment Survey
Exit Interviews
1
Exit 2
Purpose
The main reason is to ask for self report on adherence
But interview will also check for—
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how long patient spent at the clinic
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how long patient took to travel to the clinic and how much
it cost
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how many of the patient’s prescribed ARVs and other
drugs were actually dispensed
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whether the medicines are correctly labelled
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whether the patient knows how to take the medicine
correctly
These questions provide information on possible determinants
of adherence
-IAA
Exit 3
Sampling
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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
-IAA
Exit 4
Location
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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—
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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
-IAA
Exit 5
How to Behave
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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
-IAA
Exit 6
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
-IAA
Exit 7
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
-IAA
Exit 8
Exit Interview Form
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Take the manual (Chapter 4) and go over filling in
the form, column by column
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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
-IAA
Exit 9
Exit Interview Form-1
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
DATA COLLECTION FORM: EXIT INTERVIEWS
A
Pt #
1
2
3
Date
B
C
Age
in
Gender
Yrs
M/F
D
Occupation
Facility #
E
F
Normal Months
activity
on
Y/N
trt.
Exit 10
Exit Interview Form -2
__________________
___
Facility Name
H
Cost
home to
clinic
I
Time
Home to
clinic (in
mins)
J
Time in
Clinic
today (in
mins)
K
L
All ARVS
dispensed Y/
N
All Non
ARVS
dispense
d
Y/N
M
N
All ARVs
well
labelled
Y/N
All other
Meds
well
labelled
Y/N
Exit 11
Exit Interview Form -3
DATA COLLECTION FORM: EXIT INTERVIEWS side 2
O
Name of first ARV in
patient regimen
P
# times
per day
Q
R
pt knows
# times
# Doses
per day missed in
Y/N
last 3 days
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Exit 12
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
AG)
(specify column
Exit 13
Exit Interview Form
AF
AG
Reason for Missing
doses (Code 1-15)
If "Other," then specify reason
for missing doses
-IAA