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. 2024 Sep 27;22:66. doi: 10.1186/s12960-024-00949-2

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© The Author(s) 2024

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

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Fig. 6 — Comparison of simulated average annual working time and actual/establishment capabilities per cadre category in two health care seeking scenarios. The annual working time is the annual number of appointments times the appointment time requirements. The line of “simulated working time: capability” = 1 means the usage of healthcare workers’ patient facing time in the model perfectly matches their capabilities. Note that since the data for the ConWithDCSA appointment time requirement are not available, in the simulation, it is assumed such a value (i.e. 20 minutes for DCSA per appointment) that the simulated total working time can well match the Actual capabilities of DCSA; and that the extra capabilities of Laboratory and Radiography cadres may be due to that cancer modules in TLO Model have not fully represented the HSIs of laboratory and radiography services such as diagnostic test and screening on one hand and that the laboratory and radiography appointment time requirements might have been underestimated in data source on the other hand. Also note that Nutrition and Dental cadres are not analysed because of no relevant service data