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 |