STF 5.0.3

Enter Outcome Data
* Dispatch Year Year is required.
* Dispatch Month
* CCC NO
CCC No is required.
Patient contacted
Current ART regimen
Change Current Regimen (optional)
Date started Current Regimen
Date started Viremia Clinic
Enrolled in Support Group?
Date Enrolled in Support group
No. of Enhanced Adherence sessions done before repeat confirmatory VL
1st VL(Repeat Confirmatory VL)
Date VL sample collected
VL sample type
Date VL results received
Reasons Repeat VL Not Collected
*Other Reasons Repeat VL Sample not Collected
VL Results
Action taken
Specify Other action taken
Second Regimen
Third Regimen
Date switched to second Regimen
Reason for not switching if Repeat VL Detectable
Specify Other reason for not switching
2nd VL(3 month VL post switch)
No. of Enhanced Adherence sessions done before 3 month post switch VL
Date VL sample collected
VL sample type
Date VL results received
VL Results
Client's Final Outcome
Last TCA date
*Reason for not suppressing (for unsuppressed clients at 3 VL month post switch)

Note: Data is saved at the browser. Please ensure you connect to the internet for exporting to the server