HOUSEHOLD CHARACTERISTICS ER EROCCUR Has the Malaria Control Program performed Indoor Residual Insecticide Spraying (IRS) of your home in the Yes No last 12 months? ERTERM= Indoor residual insecticide spraying; EREVLINT=-P12M Did you sleep under an insecticide treated bed-net last night? ERTERM=Sleep under an insecticide treated bed-net; Yes No EREVINTX=LAST NIGHT Was HIV status collected for this HIV STATUS Yes No LB study? LBYN Positive How was HIV status at enrolment Self-report HIV status at enrolment Negative determined? HIV laboratory test LBORRES where LBTESTCD=HIV Viral load Viral load If HIV positive, date of last viral CD4 abs. CD4 % result units load LBORRES where LBORRES If HIV positive, date of last CD4 count LBORRES LBORRESU LBTESTCD=CD4 LBTESTCD=CD4 LBDTC where LBTESTCD=RNA and where LBTESTCD= CD4 where where and and LBCAT=VIRAL LOAD and NHOID=HUMAN LBTESTCD LBTESTCD LBORRESU=/uL LBORRESU=% IMMUNODEFICIENCY VIRUS =RNA =RNA cells/mm3 % |__|__|-|__|__|__|-|__|__|__|__| |__|__|-|__|__|__|-|__|__|__|__| UNK UNK UNK
HOUSEHOLD CHARACTERISTICS ER EROCCUR Has the Malaria Control Program performed Indoor Residual Insecticide Spraying (IRS) of your home in the last 12 months? ERTERM= Indoor residual insecticide spraying; EREVLINT=-P12M Yes No Did you sleep under an insecticide treated bed-net last night? ERTERM=Sleep under an insecticide treated bed-net; EREVINTX=LAST NIGHT Yes No HIV STATUS LB Was HIV status collected for this study? LBYN Yes No HIV status at enrolment LBORRES where LBTESTCD=HIV Positive Negative How was HIV status at enrolment determined? Self-report HIV laboratory test If HIV positive, date of last CD4 count where LBTESTCD= CD4 CD4 abs. LBORRES where LBTESTCD=CD4 and LBORRESU=/uL CD4 % LBORRES LBTESTCD=CD4 and LBORRESU=% If HIV positive, date of last viral load LBDTC where LBTESTCD=RNA and LBCAT=VIRAL LOAD and NHOID=HUMAN IMMUNODEFICIENCY VIRUS Viral load result LBORRES where LBTESTCD =RNA Viral load units LBORRESU where LBTESTCD =RNA |__|__|-|__|__|__|-|__|__|__|__| % |__|__|-|__|__|__|-|__|__|__|__| cells/mm3 UNK UNK UNK
wwarn-malaria-case-record-form-crf-v1-january-2017.docx