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close this bookNational Guidelines for the Clinical Management of HIV/AIDS - Tanzania (NACP; 2005; 131 pages)
View the documentLIST OF ABBREVIATIONS
View the documentACKNOWLEDGEMENTS
View the documentFOREWORD
Open this folder and view contentsCHAPTER 1: INTRODUCTION
close this folderCHAPTER 2: ORGANIZATION OF HIV/AIDS CARE AND TREATMENT
View the document2.1 Overview
View the document2.2 Serostatus Determination
View the document2.3 Scope of Care and Treatment
close this folder2.4 Care and Treatment for those on Antiretroviral Therapy (ART)
View the document2.4.1 Patient Visits Plan
View the document2.4.2 Adherence management and lifestyle counselling
View the document2.4.3 Medical Records System
Open this folder and view contents2.5 Linkages
Open this folder and view contentsCHAPTER 3: HIV/AIDS PREVENTION
Open this folder and view contentsCHAPTER 4: PROTECTIVE MEASURES AGAINST HIV TRANSMISSION
Open this folder and view contentsCHAPTER 5: LABORATORY TESTS IN HIV/AIDS
Open this folder and view contentsCHAPTER 6: HIV/AIDS AND PREGNANCY
Open this folder and view contentsCHAPTER 7: PEDIATRIC HIV/AIDS AND RELATED CONDITIONS
Open this folder and view contentsCHAPTER 8: COMMUNITY AND HOME BASED CARE FOR PEOPLE LIVING WITH HIV/AIDS (PLHA)
Open this folder and view contentsCHAPTER 9: COUNSELLING RELATED TO HIV-TESTING AND TREATMENT ADHERENCE
Open this folder and view contentsCHAPTER 10: MANAGEMENT OF COMMON SYMPTOMS AND OPPORTUNISTIC INFECTIONS IN HIV/AIDS
Open this folder and view contentsCHAPTER 11: MANAGEMENT OF MENTAL HEALTH PROBLEMS IN HIV/AIDS
Open this folder and view contentsCHAPTER 12: MANAGEMENT OF HIV INFECTED PATIENTS USING ANTIRETROVIRAL DRUGS
Open this folder and view contentsCHAPTER 13: ARV THERAPY IN INFANTS AND CHILDREN
Open this folder and view contentsCHAPTER 14: USE OF ARVS IN SPECIAL CIRCUMSTANCES
Open this folder and view contentsCHAPTER 15: HIV/AIDS AND NUTRITION
Open this folder and view contentsCHAPTER 16: MANAGEMENT OF ANTIRETROVIRAL MEDICINES
Open this folder and view contentsCHAPTER 17: CERTIFICATION OF HEALTHCARE FACILITIES AS CARE AND TREATMENT SITES
 

2.4.3 Medical Records System

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.

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