A Patient Identification Card, Patient Record Form and an ART Reporting Form, have been designed for the purpose of patient identification, patient monitoring and programme monitoring respectively.
Patient Identification Card (CTC1) is a card with a pre-printed unique patient identification number. The Card is issued at the first visit, at the registration section of the facility. The Card is for patients on ARV treatment and HIV+ persons not yet on treatment but are being monitored by the programme. The Card will be kept by the patient and used for identification purposes at every visit.
It is important that the patient carries treatment relevant information with him/her whenever he sees a new clinician, e.g. when he transfers to another facility. The same initial identification number will be retained to avoid loss of follow up and double recording of the patient
Patient Record Form (CTC2) is a form initiated at the first visit of any HIV positive person attending the Care and Treatment Clinic. The Card is issued by the facility registration unit of the Care and Treatment Clinic by/or on the order of the attending clinician. The form has a unique ID number, copied from the Patient Identification Card. The Form is kept in a file and retained in the facility registry or dedicated HIV/AIDS care and treatment cabinet and is to be retrieved at each visit using patients’ unique ID number. Key information on patient management is filled in by the attending clinician.
ART Reporting Form (CTC3) captures information for programme monitoring. The Form is currently printed in pads containing 50 carbonated triplicate sets. Registry personnel or a counselor copies all required information from the Patient Record Form to the ART Reporting Form. First and second copies of filled forms are removed and sent to NACP and DMO respectively at the end of every month, while third copies remain at the facility. Every patient’s visit (whether on ART or not) should be recorded and reported at the end of each month.
Each facility participating in the National Care and Treatment Programme, should identify a person to be responsible for ART reporting and handling of the Forms.