Table 1.
Task-shifting and task-sharing of antiretroviral therapy services, by clusters
| Cadre and Rolesa | CLUSTER 1 Traditional Model (N = 5) |
CLUSTER 2 Mixed Model (N = 10) |
CLUSTER 3 Task-Shifted Model (N = 4) |
|||
|---|---|---|---|---|---|---|
| n | % | n | % | n | % | |
| Medical doctor | ||||||
| ART initial prescription | 5 | 100 | 10 | 100 | 0 | 0 |
| ART monitoring & management | 5 | 100 | 10 | 100 | 0 | 0 |
| Clinical services | 5 | 100 | 10 | 100 | 0 | 0 |
| Referral services | 4 | 87 | 10 | 100 | 0 | 0 |
| ART adherence counselling | 0 | 0 | 4 | 40 | 0 | 0 |
| Clinical officer | ||||||
| ART initial prescription | 2 | 40 | 9 | 90 | 4 | 100 |
| ART monitoring & management | 2 | 40 | 10 | 100 | 4 | 100 |
| Clinical services | 2 | 40 | 10 | 100 | 4 | 100 |
| Referral services | 2 | 40 | 10 | 100 | 4 | 100 |
| ART adherence counselling | 0 | 0 | 7 | 70 | 0 | 0 |
| Nurse/ Midwife | ||||||
| Registration | 3 | 60 | 2 | 20 | 2 | 50 |
| ART initial prescription | 0 | 0 | 4 | 40 | 3 | 75 |
| ART monitoring and management | 2 | 40 | 6 | 60 | 3 | 75 |
| Clinical services | 1 | 20 | 7 | 70 | 2 | 50 |
| Referral services | 0 | 0 | 7 | 70 | 3 | 75 |
| ART dispensing at the HIV clinic | 1 | 20 | 4 | 40 | 3 | 75 |
| ART adherence counselling | 2 | 40 | 8 | 80 | 2 | 50 |
| Phlebotomy | 0 | 0 | 5 | 50 | 1 | 25 |
| Patient tracing for missed appointments & defaulters | 0 | 0 | 3 | 30 | 1 | 25 |
| Medical records management | 1 | 20 | 2 | 20 | 1 | 25 |
| Counsellor | ||||||
| Triage | 0 | 0 | 4 | 40 | 1 | 25 |
| ART adherence counselling | 2 | 40 | 7 | 70 | 2 | 50 |
| Patient tracing | 0 | 0 | 3 | 30 | 0 | 0 |
| Pharmacist | ||||||
| ART dispensing at the HIV clinic | 3 | 60 | 2 | 20 | 1 | 25 |
| Pharmacy technician | ||||||
| ART dispensing at the HIV clinic | 2 | 40 | 7 | 70 | 0 | 0 |
| ART adherence counselling | 0 | 0 | 3 | 30 | 0 | 0 |
| Laboratory technician | ||||||
| Phlebotomy | 2 | 40 | 7 | 70 | 3 | 75 |
| Data clerk | ||||||
| Registration | 2 | 40 | 1 | 10 | 1 | 25 |
| Patient tracing for missed appointments & defaulters | 1 | 20 | 2 | 20 | 1 | 25 |
| Medical records management | 3 | 60 | 2 | 20 | 4 | 100 |
| Lay health worker | ||||||
| Registration | 1 | 20 | 4 | 40 | 0 | 0 |
| Patient tracing for missed appointments & defaulters at the HIV clinic | 0 | 0 | 4 | 40 | 1 | 25 |
| Community health worker | ||||||
| Patient tracing for missed appointments & defaulters at the HIV clinic | 3 | 60 | 3 | 30 | 1 | 25 |
aThese are actual roles performed by cadres on a typical day in the ART clinic; they may vary from expected roles noted in a country policy guideline