Purpose Of The Database And Study Design: The ADAP Monthly Report allows the HAB to routinely monitor the fiscal status of ADAPs across the US, trends in enrollment in those programs, and other developments that may have an impact on the ability of HIV positive low-income individuals to access life sustaining and enhancing therapeutics.
Nature Of The Data Collected: Cross-sectional administrative data
Unit Of Analysis: Individual State ADAPs
Data Collection Methods: Reports are submitted electronically or on hardcopy. HAB contractors enter data into an administrative database.
General Attributes: ADAP Monthly Reports were initiated in February 1998 and are submitted by all 50 States, the District of Columbia, Puerto Rico, and US territories. As of April 1999, State submission of ADAP monthly reports is a condition of grant award.
Major Data Constructs And Key Data Elements: Data reported include: funds received by the ADAP by source of funding; monthly enrollment data; methods used to directly measure or estimate enrollment; expenditures by type of drug; unit prices paid by type of drug; changes in key aspects of the program (e.g., financial eligibility, drug formularies, and clinical guidelines issued in the State); and other related data.
Strengths And Weaknesses Of The Study Design And Database: Timeliness of report submissions varies among grantees due to inherent variation in State systems. ADAPs may impute some data (e.g., enrollment) using a variety of methods. Such imputation may result in variation in reliability of the data among ADAPs.
Gaps In The Data Collected And Factors Leading To The Gaps: Additional detailed antiretroviral data are needed. HAB staff is considering adding these elements to the report.
Feasibility Of Linking With Other Databases: ADAP monthly reports may be linked to other State-specific databases. The reports are considered confidential, however, due to confidential funding information provided in the reports.
Process To Access The Database And Contact Person: This is not a database accessible to the public. For more information contact: Paul Mahanna, Public Health Analyst, HRSA, HAB, Division of Service Systems at (301) 443-4063.
Selected Citations: Additional information also may be obtained from the HAB web site: http://www.hrsa.gov/hab