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Table 3 Potential effect of selected site characteristics on human resources for health (HRH) needs

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

Site characteristics Potential effect on HRH needs
  Increase HRH Decrease HRH
Inadequate physical space Decreased efficiency of staff due to ineffective patient flow.  
Higher HIV/AIDS prevalence Higher HIV/AIDS in staff and families resulting in higher absence and loss.* Limited staff time required to ensure treating maximum number of patients.
ART integrated into general medical services Increased staff need to be trained if significant time spent on non-HIV/AIDS/ART care. • May improve coordination of care, particularly if multiple services co-located and make HRH use more efficient.
• May be more beneficial as disease management changes focus to chronic disease management.
Rural site Increased need for longer -distance outreach, mobile teams. Higher probability of need to integrate into other non-HIV/AIDS clinics due to smaller absolute numbers.  
Urban site If population more transient, may require more HRH for outreach and adherence. • Potentially easier transportation for immediate catchment area to come to clinic.
• Potentially easier travel for outreach.
• If higher prevalence, population may reside closer to ART site.
Weak linkages with other services (e.g. counselling, social support) Increased HRH to provide full spectrum of care and services on-site.  
  1. *This effect is decreasing as programmes expand ART to their staff