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Table 3 Facility-level indicators of adherence and clinic attendance across health facilities in four countries based on exit interviews and record review

From: Measuring adherence to antiretroviral treatment in resource-poor settings: The feasibility of collecting routine data for key indicators

 

Median facility percentages

(minimum, 25 th percentile, 75 th percentile, maximum value)

Indicator and Data Source

Kenya

Rwanda

Uganda

Ethiopia

Self-report from exit interview

(19 facilities/373 patients)

(18 facilities/285 patients)

(19 facilities/408 patients)

(20 facilities/565 patients)

Perfect self-reported adherence in last 3 days

96.7

(80,95,100,100)

100

(60,84,100,100)

96.7

(63,91,100,100)

96.7

(90,93,100,100)

Mean self-reported adherence over past 3 days

99.4

(89,98,100,100)

100

(88,95,100,100)

99.4

(85,98,100,100)

99.6

(96,99,100,100)

Days covered by dispensed medicine from records

(20 facilities/936 records)

(17 facilities/1279 records)

(19 facilities/1693 records)

(20 facilities/1982 records)

Mean % of days covered by medicine dispensed

90

(25,82,95,100)

95

(88,93,97,99)

91

(76,86,92,97)

93

(82,92,95,99)

% of patients with ≥ 95% days covered by medicine dispensed

63

(12,58,79,100)

80

(54,63,87,99)

52

(20,46,69,81)

76

(55,69,82,94)

% of patients with ≥ 30 days gap in medicines dispensed

15

(0,7,30,41)

2

(0,1,6,12)

19

(0,12,24,42)

9

(0,5,13,33)

Patient attendance at clinic from records

(19 facilities/1060 records)

(20 facilities/1354 records)

(19 facilities/1690 records)

(20 facilities/1982 records)

On or before day of appointment

84

(25,77,92,100)

91

(14,79,95,98)

79

(15,66,87,100)

72

(58,64,79,99)

Within three days of appointment

--

96

(67,93,97,100)

80

(20,75,91,100)

87

(72,84,93,99)

Within thirty days of appointment

98*

(52,96,100,100)

99

(96,97,100,100)

95

(29,88,97,100)

99

(87,94,100,100)

  1. -- Data not collected
  2. * Within 60 days of appointment