N°

Questions

Responses

JUMP

Q22

Are you on ARVs?

1. YES

2. NO

Q23

Since which year?

/___/___/_______/

Q24

Have you been screened for TB?

1. YES

2. NO

Q25

Have you received preventive treatment against tuberculosis?

1. YES

2. NO

Q26

Which one??

1. isoniazid

2. 3HP

3. others to be specified

Q27

Did you have your last viral load?

1. YES

2. NO

Q28

What was the result of your last viral load?

/________/Copies

Q29

What was your last CD4 count?

/________/ cells/µl

Q30

What was the last Hb level?

/________/g/dl