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. |