Table 4.
Time and motion observations on VL testing comparing pregnant women and children and post-test counseling depending on viral suppression status (minutes).
| Activity | Personnel Responsible | Average Time per Adult Tested (Range) | Average Time per Child/Adolescent Tested (Range) |
|---|---|---|---|
| Blood draw | Nurse or lab technician (similar salary) | 2 (1–3) | 10 (6–15) |
| Complete POC VL test on GeneXpert (4-cartridge) | Lab technician | 32 hands-on work, 134 total time | 32 hands-on work, 134 total time |
| Total time | 168 | 181 | |
| Activity | Personnel Responsible | Counseling for Virally Suppressed Client | Counseling for Virally Unsuppressed Client |
| Average time for post-test counseling | Adherence counselor, peer educator | 12 (5–20) | 30 (20–40) |
| Total cost for post-test counseling a | $0.96 USD | $2.40 USD |
a The total cost for post-test counseling was calculated assuming that the cost of adherence counselor time was $0.08 per minute.