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Table 1 Task-shifting and task-sharing of antiretroviral therapy services, by clusters

From: Identifying models of HIV care and treatment service delivery in Tanzania, Uganda, and Zambia using cluster analysis and Delphi survey

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

  1. 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