At every clinic attendance for each patient, demographic, social, clinical, biological, immunological and laboratory data are recorded and entered into a database, and data are cleaned, analysed and reported on monthly, quarterly, annually and as required.
Features of the clinical encounter such as seeing a different doctor every clinic visit was a big barrier to communication.
Basic patient individual clinical, laboratory and treatment information are routinely collected at every clinic visit using standardized forms.
At every clinic visit, data including self-reported adherence to ART, WHO clinical stage and weight are recorded.
"In every clinic you can see young people queuing up for abortions.
Cholesterol researchers say that every clinic has patients with high levels of H.D.L. who ended up with heart disease.
But in this country every doctor and nurse in every clinic and hospital uses gowns, latex gloves, masks, and disinfectants.
In many other countries, price lists of common procedures are publicly available in every clinic and office.
"I'd like to see it spelled out in simple language and posted in the lobby of every clinic and hospital," she said.
Non-attendance of patients is a big problem: for every clinic, there may be at least one patient who doesn't turn up.
In 1966 Berger went to live with a rural GP in Gloucestershire, and for six weeks accompanied him on every clinic and home visit.
