HIV Patient Monitoring & Support Checklist

Confirm patient identity and current ART regimen

Verify name, ID, and current medicines.

Ask about missed doses and barriers to taking ART

Record any missed doses, reasons, and timing since last visit.

Provide adherence counselling and issue ART refill

Give brief counselling, problem-solve barriers, and supply medicines.

Check viral load result or collect sample if due

Review latest viral load; collect a sample if it's time per local schedule.

Review CD4 count if indicated and order test if needed

Screen for TB symptoms (cough, fever, night sweats, weight loss)

Collect sputum or refer for TB testing when symptoms present

Arrange testing or urgent referral if TB symptoms are reported.

Examine mouth for oral thrush and provide treatment or referral

Look for white patches and treat locally or refer for care.

Ask about other new symptoms (skin problems, prolonged diarrhea, fever)

Measure and record weight; compare to previous visit

Note weight change and flag rapid loss or gain.

Offer brief nutritional counselling or refer for support

Give diet advice and refer to nutrition services if underweight.

Screen for depression, anxiety, or substance use and refer if needed

Use simple questions and arrange mental health support when concerns arise.

Ask about STI symptoms and offer testing or treatment

Discuss family planning needs and offer pregnancy testing or contraception referral

Review vaccination needs and arrange missing vaccines per local guidance

Assess home and community support and refer to peer groups or services

Ask about support at home and link to community resources when needed.

Plan the next clinic visit, document findings, and update records

Set follow-up timing and note actions in the patient's file.