REGISTER ART Cohort analysis Execise 2, page 1 Monthly visits: ● 1st row, write patient outcome: on treatment (T)

outcome: on treatment (T) if patient picked up

ART drugs; stopped (ST) if ART was stopped by the doctor; missing (MIS) if the patient
missed the scheduled visit; lost to follow-up (LFU) if the patient is missing for ≥3
Obat substitusi lini 1
Paduan ART months; restart (RS) if ART was restarted after an interruption; transferred out (TR);
TGL mulai ART dead
saat mulai Tgl Rejimen Mg (D); (NA) if the Bln
patient was Bln
Bln nT scheduledBln
to visit
BlnthisBln
month ● 2nd
Bln Blnrow: write Bln
Alasan Bln 1 Bln 2 Bln 6 Bln 12
substitusi baru adherence
ke2 for the patients
3 on
4 treatment
5 ( A=>95%,
7 B=80-95%,
8 9 C=<80%)
10 11 13
1
T T T T T T T T A T T T T
4-Jun-2005 d4T+3TC+NVP

2
T T T T T T T T T T T T T
4-Jun-2005 d4T+3TC+NVP

3
03/06/2006 d4T+3TC+EFV T T T T T T T T T T T T T
6-Jun-2005 d4T+3TC+NVP

4
T T T T T A T T T T T T T
8-Jun-2005 d4T+3TC+NVP

5
T T T T T T T T T T T T T
9-Jun-2005 d4T+3TC+NVP

6
T T T T T T T T T T T T T
12-Jun-2005 d4T+3TC+EFV

7
T T T T T T T T T T T T T
13-Jun-2005 ZDV+3TC+NVP

8
T T T T S RS/T T T T T T T T
13-Jun-2005 d4T+3TC+NVP

9
T T T T T T T T T T T T T
15-Jun-2005 d4T+3TC+NVP

10
T T T T T T T A A GFU GFU GFU GFU
15-Jun-2005 d4T+3TC+NVP
 15-Jun-2005 d4T+3TC+NVP

REGISTER ART Cohort analysis Execise 2, page 2 Monthly visits: ● 1st row, write patient outcome: on treatment (T) if patient picked up
ART drugs; stopped (ST) if ART was stopped by the doctor; missing (MIS) if the patient
missed the scheduled visit; lost to follow-up (LFU) if the patient is missing for ≥3
Obat substitusi lini 1
Paduan ART months; restart (RS) if ART was restarted after an interruption; transferred out (TR);
TGL mulai ART dead
saat mulai Tgl Rejimen Mg (D); (NA) if the Bln
patient was Bln
Bln nT scheduledBln
to visit
BlnthisBln
month ● 2nd
Bln Blnrow: write Bln
Alasan Bln 1 Bln 2 Bln 6 Bln 12
substitusi baru adherence
ke2 for the patients
3 on
4 treatment
5 ( A=>95%,
7 B=80-95%,
8 9 C=<80%)
10 11 13
1
T T T T T T T T A T T T T
16-Jun-2005 d4T+3TC+NVP

2
T T T T T T T T T T T T T
17-Jun-2005 d4T+3TC+NVP

3
05/06/2006 d4T+3TC+EFV T T T T T T T T T T A T T
19-Jun-2005 d4T+3TC+NVP

4
T T T T T T T T T A A GFU GFU
20-Jun-2005 d4T+3TC+NVP

5
T T T T T T T T T T M M M
22-Jun-2005 d4T+3TC+NVP

6
T T T T T T T T T T T T T
24-Jun-2005 d4T+3TC+EFV

7
T T T T T T T A T T T T T
25-Jun-2005 ZDV+3TC+NVP

8
T T T T T T T T T T T T T
27-Jun-2005 d4T+3TC+NVP

9
RK T T T T T T T T T
14/15/2005 d4T+3TC+NVP
10
 Nama RS: ………………………………….

Untuk kohort yang memulai ART menurut

bulan/tahun: pada awal terapi kemudian hasilnya
setelah 6 bulan dengan ART, 12 bulan dengan ART, Cohort bl 6- bl 12- bl 24- Cohort bl 6-
24 bulan dengan ART Oct 04 Apr 05 Oct 05 Oct 06 Nov 04 May 05

M Mulai ART di klinik ini - kohort orisinal

RM Rujuk Masuk

RK Rujuk Keluar
S Jumlah kohort sekarang

H Dengan rejimen lini pertama orisinal

I Dengan rejimen lini pertama lain (Substitusi)

J Dengan rejimen lini ke-2 (Swtich)

Stop

Meninggal dunia

Gagal Follow-up
Proporsi kohort yang hidup dan dengan ART

[ (H + I + J) / N * 100 ]

Proporsi CD4 > 200

Status fungsional

A Proporsi Kerja

B Proporsi Ambulatori

C Proporsi Berbaring

Jumlah orang yang mengambil ARV setiap

bulan selama 6 bulan x x x x
Jumlah orang yang mengambil ARV setiap
bulan selama 12 bulan x x x x x
Jumlah orang yang mengambil ARV setiap
X
bulan selama 24 bulan
 LAPORAN KOHORT
mengenai dampak pengobatan ARV

kohort ditetapkan menurut bulan tahun ketika

mereka memulai ART
dilanjutkan untuk masing2 kohort bulanan

bl 12- bl 24- Cohort bl 6- bl 12- bl 24-

Nov 05 Nov-06 Dec 04 Jun 05 Dec 05 Dec 06

18 18
x 1
x 0
18 19
15
2
0
0
1
2

17/19

x x x x x
x x x 11/18 x
X X X