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-Clinic identification number
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-Patient identification number
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-Patient identification number
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-Date of visit
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-Date of enrollment at HIV clinic
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-Type of provider seen
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-Pregnancy status at time of enrollment
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-Pregnant at time of visit
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-Number of months pregnant at enrollment
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-Temperature
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-Age
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-Weight
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-Gender
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-Height
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-Site of HIV testing
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-CD4 count
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-Date of HIV testing
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-CD4 percentage
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-Results of HIV testing
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-Date of CD4 count
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-City of residence
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-Viral load
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-Neighborhood of residence
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-Date of viral load
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-Marital status
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-Clinical diagnoses*
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-Type of employment
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-WHO stage
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-Years of education
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-CTX prophylaxis
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-Type of higher education
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-TB prophylaxis
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-Patient active at HIV clinic (yes/no)
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-Patient receiving ART
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-Reason patient left HIV clinic
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-Type of ART regimen
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-Date patient left HIV clinic
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-Type of ART refill visit
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-Date the HIV clinic found out patient left
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-# of pills dispensed
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-Exit comments
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-Next refill date
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-ART committee date
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-Receiving TB treatment
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-Patient receiving ART (yes/no)
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-Comments
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-ART start date
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-Type of ART initiation (new patient or transferred from another facility)
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-Comments about treatment
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-Pregnancy status at time of treatment initiation
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-Prophylaxis for PMTCT
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-Prophylaxis type
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-Prophylaxis date
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