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Table 4 Workload and staffing, by human resource (HR) integration category ‘least/most improved’

From: The impact of HIV/SRH service integration on workload: analysis from the Integra Initiative in two African settings

 

Mean staff FTE available

Mean staff FTE required

Mean workload ratio (low/high estimates)

 

Baseline

Endline

Baseline

Endline

Baseline

Endline

‘Least improved’ facilities

      

(n = 32)

Ca Cervix screening

0.05

0.09

0.02

0.03

3.08 (2.41 to 4.28)

9.72 (7.60 to 13.50)

FP

0.82

0.99

0.43

0.53

2.06 (1.88 to 2.27)

2.16 (1.97 to 2.38)

HIV care and treatment

2.07

3.38

0.57

1.01

12.38 (9.81 to 16.80)

13.15 (10.42 to 17.84)

PITC

0.25

0.38

0.10

0.12

4.56 (3.60 to 6.22)

3.43 (2.71 to 4.68)

PNC

0.24

0.50

0.12

0.15

2.56 (2.29 to 2.88)

2.11 (1.89 to 2.38)

STI

0.06

0.06

0.02

0.06

1.96 (1.60 to 2.53)

2.37 (1.93 to 3.05)

VCT

1.11

1.35

0.16

0.31

9.60 (7.57 to 13.09)

7.33 (5.79 to 10.00)

Other MCH/OPD service

4.85

6.05

1.15

1.41

10.64 (9.13 to 12.76)

9.78 (8.38 to 11.72)

Total facility

8.80

11.71

2.35

3.14

5.50 (4.58 to 6.89)

5.93 (4.91 to 7.50)

‘Most improved’ facilities

      

(n = 8)

Ca Cervix screening

0.05

0.10

0.01

0.01

4.82 (3.76 to 6.69)

24.66 (19.27 to 34.24)

FP

0.72

1.40

0.33

0.36

2.99 (2.73 to 3.30)

5.31 (4.85 to 5.87)

HIV care and treatment

2.12

4.89

0.66

0.63

2.27 (1.80 to 3.08)

20.42 (16.18 to 27.71)

PITC

0.22

0.25

0.06

0.09

3.20 (2.53 to 4.37)

3.37 (2.66 to 4.60)

PNC

0.28

0.13

0.06

0.11

5.11 (4.58 to 5.77)

1.17a (1.05 to 1.32)

STI

0.07

0.04

0.01

0.03

5.08 (4.15 to 6.53)

1.93 (1.57 to 2.48)

VCT

1.20

1.50

0.15

0.25

17.99 (14.20 to 24.54)

7.54 (5.95 to 10.29)

Other MCH/OPD service

5.88

6.93

1.07

1.28

9.72 (8.33 to 11.65)

9.80 (8.40 to 11.75)

Total facility

9.64

13.36

2.09

2.40

6.37 (5.26 to 8.08)

8.94 (7.34 to 11.43)

  1. adifference from baseline significant at the P < 0.05 value (t = 2.45, P = 0.044).
  2. FP, family planning; FTE, full time equivalency; MCH/OPD, maternal and child health; PITC, provider-initiated HIV testing and counselling; PNC, postnatal care; STI, sexually transmitted illness; VCT, voluntary HIV Counselling and testing.