Table 1.

Task shifting with the CCC model (derived from WHO Task Shifting: Global Recommendations and Guidelines)

	Standard of care			CCC model
	P	CO	N	P	CO	N	CCC
Clinical monitoring
Monitor and support ART adherence	□□□	■■■	■■■	□	■	■	■■
Take weight			■■■			■	■■
Take vitals			■■■			■	■■
Determine functional status	■■■	■■■		□	■		■■
Request CD4 count and viral load	□□□	■■■		□□□	■■■
Identify ART side effects	□□□	■■■		□	■		■■
Manage ART side effects	□□□	■■■	□□□		■■■
Identify OI symptoms	□□□	■■■		□	■		■■
Manage OIs	□□□	■■■		□□□	■■■
Dispense and arrange follow-up visits
Dispense ART and drugs for OI prophylaxis			■■■			■	■■
Arrange follow-up visits			■■■			■	■■
Manage substitutions or switch of ART
Switch to alternative first-line regimen	□□□	■■■		□□□	■■■
Switch second-line regimen	□□□	■■■		□□□	■■■
Choose appropriate third-line	□□□			□□□
Supervision
Clinical officers	X	X		X	X
Nurses		X			X
Community care coordinators					X

X Responsible for an activity

■■■ Responsible during all visits

■■ Responsible during two-thirds of visits

■ Responsible during one-third of visits

□□□; □; X Physicians are responsible for all or part of the activity when present in the clinic

ART: antiretroviral treatment

OI: opportunistic infection