Lost to Follow up- Manual

Effectiveness Indicator Tracking effectiveness= Number of clients resumed treatment / Number of clients tracked & found alive Effectiveness Indicator reflects Capacity to Convince. Tracking and meeting the client is one aspect, convincing the client to resume the treatment is another aspect. Ideally, ORWs should meet all LFU clients and convince all of them to resume treatment, so as to reflect in the reduced number of LFU clients in the next month.

How to monitor the ART care coordination meetings ART care coordination meetings ensure planning, communication, control and coordination and feedback required for the LFU tracking. Unless the data is flowing, people are exchanging and sharing the value with one another, the interest cannot be maintained at all. ART care coordination meetings are also a required space for reflection, and as a way and mean for the mutual accountability.

• Number of ART care coordination meetings happened (It is expected that at least once in a month a meeting should happen) • On an average, o Number of partners invited to each care coordination meeting (Although it is routine to invite all the agreed partners, partners may be dropped for other reasons) o Number of partners attended for each care coordination meeting (Ideally all invited partners should come to the meeting, or inform in advance their inability to attend for other valid reason- the assumption being if meeting is useful, people attend meetings) o Number of attendees for each care coordination meeting o (If meetings are purposeful and useful, number of attendees will remain same or increasing) o Number of hours spent for each care coordination meeting o (If more time is being spent means, there is a possibility of discussion, debate and understanding each other. People argue or discuss when they are really involved or wanted to be involved or it is a priority) • Is LFU a standard agenda item (Yes/No) (LFU should be a persistent agenda item) • Other agenda items- list all agenda items • Number of decisions taken regarding LFU (Decisions are the result of the discussion. If only discussion is happening, and no decisions and no follow up, there is no utility of the meetings) • List all the decisions (Major/Micro/Nano) that were taken in the care coordination meeting • Number of decisions that were implemented so far • List the decisions that were implemented so far