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Table 4 Comparison of implementation status of interventions for retention in care in health facilities with relatively higher and lower levels of retention in care, 2010

From: How to improve patient retention in an antiretroviral treatment program in Ethiopia: a mixed-methods study

Level of retention Retention in care promoting activities by health facility and community-based organizations Coordination Patient information system
Higher level of retention Consider adherence and retention as the responsibility of each and every cadre involved in the care of patients Assign a coordinator called ‘case manager’ responsible for the holistic care of patients Assign data clerks that work on the patient information
Have both electronic and paper-based patient information system that coordinates, updates and shares patient information regularly with stakeholders
Have a mechanism for the coordination and linkage of services
Provide patient tailored adherence and retention-related services
Conduct multi-disciplinary team meetings regularly
Have strong and coordinated defaulter tracing and outreach services
Conduct catchment area meetings regularly
Provide patient tailored and coordinated care and support services
Have community-based organizations that provide counseling, care and support services
Lower level of retention Adherence and retention is rarely or not at all considered as the business of each and every cadre involved in the care of patients There is no focal person for the coordination of the holistic care of patients No dedicated data clerks that work on the patient information
There is poor documentation of the patient information
There is no mechanism for the coordination and linkage of services
The patient information is not updated and shared regularly with stakeholders
There is weak patient tailored adherence and retention-related services
There is weak or no multi-disciplinary team meetings conducted regularly
There is weak and uncoordinated defaulter tracing and outreach services
There are weak or no catchment area meetings conducted regularly
There are few or no community-based organizations that provide counseling, care and support services