Reasons for referral

Recommendation by pharmacist

Action by clinician

# of clients

Newly pregnant

-Request for HB to be done

-Referred for antenatal clinic

-HB done

-Enrolled in antenatal clinic

5

Peripheral neuropathy and lipodystrophy syndrome

-Possible regimen switch from d4T based.

-Do blood sugar & lipid level tests

Regimen changed to TDF Based after carrying out ALT/AST creatinine and urea tests

7

Acute abdominal pain

Switch regimen

Regimen modified

4

No recent CD4

Carry out routine lab investigations

Routine labs requested for, taken and filed back in patient files

11

Dizziness, fatigue, heart palpitations-client on AZT

Investigate for anaemia

HB test done

5

Cardiovascular abnormalities

Investigate for CCF and assess renal function-client on TDF

Referred to UNIVERSITY Teaching hospital—LUSAKA

1

Suspected treatment failure

Viral load-regimen switch

1-Viral load to be done from Lusaka.

2-Regimen switched

2

Client eligible for Co-trimoxazole prophylaxis but not prescribed

Co-trimoxazole refill

Cotrimoxazole prescribed and supplied

5

Nausea and vomiting

To see clinician

Symptoms resolved by the time the client decided to visit the hospital

9

Total Referrals

49