Naidoo, HarishiaAvenant, Theunis JohannesGoga, Ameena Ebrahim2018-09-172018-09-172018-04-10Naidoo H, Avenant T, Goga A. Completeness of the Road-to-Health Booklet and Road-to-Health Card: Results of cross-sectional surveillance at a provincial tertiary hospital. S Afr J HIV Med. 2018;19(1), a765. http://DOI.org/10.4102/sajhivmed.v19i1.765.1608-9693 (print)2078-6751 (online)10.4102/sajhivmed.v19i1.765http://hdl.handle.net/2263/66578BACKGROUND : Accurate record-keeping is important for continuity and quality of care. Completing a child’s Road-to-Health Booklet (RTHB), or the older, less detailed, Road-to- Health Card/Chart (RTHC), immediate interpretation thereof and appropriate action facilitates comprehensive care, which could contribute to a decline in child morbidity and mortality. OBJECTIVE : This study aimed to assess the extent to which healthcare personnel working in catchment clinics of Kalafong Provincial Tertiary Hospital (KPTH), Tshwane district, South Africa, complete HIV-related, sociodemographic, neonatal, growth and immunisation information in the RTHC and/or RTHB. METHODS : A cross-sectional, quantitative record review was conducted. Data were extracted from 318 RTHCs and/or RTHBs of children attending KPTH for paediatric care. Data extraction focused on six main areas, namely documentation of HIV-related, neonatal, sociodemographic, anthropometric, immunisation and vitamin A-related information. During data analysis, age-appropriate completeness scores were generated for each area and completeness of documentation in the RTHB and RTHC was assessed. RESULTS : Data demonstrate significantly less unrecorded HIV-related information (maternal HIV status, timing of maternal HIV testing, timing of maternal antiretroviral therapy [ART] initiation, current maternal ART use and infant feeding decisions) in RTHBs compared with RTHCs (p < 001). Despite this, 24% of all RTHBs had no record of maternal HIV status and 67% of RTHBs from documented HIV-exposed infants had no record of maternal ART duration. Neonatal information completeness was similar between RTHBs and RTHCs, but sociodemographic completeness was significantly better in RTHBs compared with RTHCs (p = 0.006). Growth (especially weight), immunisation and vitamin A completeness was > 80% and similar between RTHBs and RTHCs. Length-for-age, weight-for-length and head circumference were plotted in < 5% of RTHBs and none of the RTHCs. CONCLUSION : Although completeness of key HIV-related information was better in RTHBs compared with RTHCs, RTHB completeness was suboptimal. Healthcare personnel need reminders to utilise the RTHB optimally to improve continuity and quality of child healthcare.en© 2018. The Authors. Licensee: AOSIS. This work is licensed under the Creative Commons Attribution License.Human immunodeficiency virus (HIV)Antiretroviral therapy (ART)Road-to-Health Card/Chart (RTHC)Road-to-Health Booklet (RTHB)Healthcare personnelCatchment clinicsKalafong Provincial Tertiary Hospital (KPTH)Tshwane district, South AfricaHIV-related informationImmunisation informationGrowth informationNeonatal informationSociodemographic informationArticle