Table 1. Quality of Nurse ART Management in Khayelitsha Clinics n = 80 patient clinical folders reviewed.
Indicator | Before | % | After | % | p-value |
ART date recorded | 80 | 100 | 79 | 98.8 | 0.316 |
Last viral load>400 | 4/54* | 7.41 | 3/65* | 4.6 | 0.519 |
Treatment plan documented for patients with viral load >400 | 2/4* | 50 | 1/3* | 33.3 | 0.659 |
Creatinine clearance recorded | 13/74* | 17.56 | 10/65* | 15.4 | 0.73 |
Documented result of most recent bloods | 74 | 92.5 | 75 | 93.8 | 0.755 |
Last required bloods drawn | 73 | 91.25 | 79 | 98.8 | 0.03 |
TB screen done | 63/76* | 82.89 | 68/74* | 91.9 | 0.098 |
STI screen done | 71 | 88.75 | 75 | 93.8 | 0.263 |
Family planning offered | 33/56* | 58.93 | 37/55* | 67.3 | 0.362 |
Pap smear recorded /referenced | 4/60* | 6.67 | 6/57* | 10.5 | 0.455 |
Clinical presentation entered | 80 | 100 | 80 | 100 | |
Problem list entered | 33 | 41.25 | 36 | 45 | 0.632 |
Adherence assessed and documented | 40 | 50 | 62 | 77.5 | <0.001 |
Stage entered | 50 | 62.5 | 73 | 91.3 | <0.001 |
Stage correlates with known medical history | 45 | 88 | 58 | 79.5 | 0.119 |
Treatment plan documented | 58 | 72.5 | 66 | 82.5 | 0.13 |
Referred to doctor | 1 | 1.25 | 2 | 2.5 | 0.56 |
Medication entered | 80 | 100 | 80 | 100 | |
ARV dose entered correctly | 64 | 80 | 64 | 80 | |
Cotrimoxazole prescribed | 12 | 15 | 8 | 10 | 0.339 |
Should Cotrimoxazole have been prescribed | 21 | 26.25 | 15 | 18.8 | 0.256 |
*Number of patients where particular indicator is applicable.