-IAA
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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