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Table 12 Summary of ART experience and patient:staff ratios from ATSAP surveys§

From: Estimating health workforce needs for antiretroviral therapy in resource-limited settings

        Patient-to-staff ratios***
Setting Type* Years ART No. on ART to date No. on ART Target no. on ART Current no. pts/mo MD Nurse MD plus MO/CO PLWH Other educators Counsellors Ph Lab tech. CHW Admin. or Manager
Urban HIV 5 1350 500 1000 30 500 250 - 333 - 333 500 500 333 0
Urban HIV/CH 3 1000 1000 1000 90 666 1000 - - - - - - - -
Urban Med NGO+ 5 800 800 1000 25 500 1000 - - - - 333 500   1000
Rural HIV DH 2 554 445 "not at target" 65 297 222 52 - - 178 445 297 445 127
Urban HIV CH 2 400 400 N/A 25 133 100 57 - - 400 200 200 100 400
Urban HIV PHC 2 288 288 N/A N/A 192 144 - - - 144 - - - -
Rural Med CH 2 109 61 "could be higher" N/A 244 - - - - - 610 610   
Rural Med Clinic UNK 100 100 N/A 5 300 50 - - - - - - - -
Suburban HIV/DH 4 83 40 1000 3**** 400 80 - - 80   - - 80  
Suburban Med DH 0.4 80 80 250 ~20 250 50 - - - 125 500 250 250 500
Urban HIV CH .5 76 69 N/A 10 95 25 33 11 76 - 152 - - 38
Urban MTCT plus NGO+ 0.5 64 64 250 5–10 833 93 139 - 250 42 833 417   104
Urban Med CH/PHC 1 45 45 N/A 15 45 11.25 36 45 - - 45    90
Urban ART only/CH 1 N/A 202   35 202 67 101 - - Nurses - 81   404
  1. §When available, patient:staff ratios are based on proposed maximum site capacity
  2. * Med: integrated into general medicine; HIV: specialized HIV only
  3. CH: central or provincial hospital, DH: district level hospital; PHC: primary health clinic
  4. +NGO: Nongovernmental organization-run referral tertiary care hospital
  5. ++years ART; number of years site has been providing ART
  6. **MD: physician, MO: medical officer, CO: clinical officer, Ph: pharmacist or pharmacy technician, P=PLWH. CHW: Community health worker; N/A not available
  7. ***If target available, ratios calculated as if reached target (in bold). If the target or maximum predicted capacity was not given, ratios calculated based on current patients
  8. **** limited by costs