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Table 5 Effect of alternative models of antiretroviral therapy (ART) delivery on the HIV health worker-to-patient ratio and overall salary costs for universal access to HIV treatment in South Africa

From: Human resources needs for universal access to antiretroviral therapy in South Africa: a time and motion study

Scenario

Human resources needs per 1,000 patients (95% CI)

Overall reduction in salary costs, %

Nurses

Counselors

Doctors

Baseline

1.2 (0.8 to 1.6)

2.1 (1.3 to 2.9)

0.2 (0.1 to 0.2)

NA

Decrease visit frequency to:

   

Every 2 months

0.7 (0.5 to 0.9)

1.2 (0.7 to 1.6)

0.2 (0.1 to 0.2)

36

Every 3 months

0.5 (0.3 to 0.6)

0.8 (0.5 to 1.1)

0.2 (0.1 to 0.2)

50

Every 4 months

0.3 (0.2 to 0.5)

0.6 (0.4 to 0.8)

0.2 (0.1 to 0.2)

57

Decrease frequency of nurses per visit to:

   

Every 2 months

0.7 (0.5 to 0.9)

2.1 (1.3 to 2.9)

2.0 (1.5 to 2.6)

24

Every 3 months

0.5 (0.3 to 0.6)

2.1 (1.3 to 2.9)

2.0 (1.5 to 2.6)

33

Every 4 months

0.3 (0.2 to 0.5)

2.1 (1.3 to 2.9)

2.0 (1.5 to 2.6)

38

Nurse-initiated treatment

1.3 (1.0 to 1.7)

2.1 (1.3 to 2.9)

NA

7

  1. NA = not applicable.