Adherence Questionnaire

 A key responsibility of a CHW is to provide support for patients and encourage them to remain adherent and in care. One way to do that is to assess a patient’s adherence at every visit. This simple questionnaire can assist CHWs to assess their patient’s adherence in a supportive way. Questions include:

• Have you had any problems with your ART and other medication? If yes, what problems have you had?
  
• Tell me about the last time you missed a dose of your medication. What happened?
• Can you show me how you take/give the medication? -- Check dose and frequency.
• For child patients only: Who is responsible for giving ART and other medications to the child? Who gives the medicine if the primary caregiver is away?

A CHW conducts a home visit to provide adherence support