Table 2.
Assumptions used to develop the model clinic
| Task | Percentage/Number of patients requiring service | Average time to complete service per patient (minutes) | Cadre currently performing task | Cadre ideally performing task |
|---|---|---|---|---|
| Check-in (registration, chart retrieval, vitals) | 100% | 3 | Clerk | Clerk |
| Vital signs measurement | 100% | 3 | Clinician | CHW |
| Clinician visit | 100% | 7 | Clinician | Clinician |
| Lab services | 50% | 5 | Clinician | CHW |
| Medication and supply distribution | 33% | 5 | Clinician | CHW |
| Immunizations | 10% | 5 | Clinician | CHW |
| Basic adherence counseling | 25% | 5 | Clinician | CHW |
| Intensive adherence counseling | 5% | 10 | Clinician | CHW |
| Nutrition support | 5% | 15 | Various | CHW |
| Social work support | 10% | 15 | Social work | Social work |
| HIV voluntary counseling and testing | 10% | 10 | Various | CHW |
| Check-out (billing, chart filing, appointment booking) | 100% | 5 | Clerk | Clerk |
| Group education session | 100% | 30 | CHW | CHW |
| Defaulter tracking | 2 | 30 | CHW | CHW |
| Community mobilization | -- | 60 | CHW | CHW |
| Linking facility and community | -- | 60 | CHW | CHW |
| Patients seen per clinician per day | 25 | -- | -- | -- |
| Patients attending clinic per day | 35 | -- | -- | -- |