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Table 3 Open-ended responses regarding task shifting of ART-related care, among 62 key stakeholders in Mozambique

From: Perspectives of key stakeholders regarding task shifting of care for HIV patients in Mozambique: a qualitative interview-based study with Ministry of Health leaders, clinicians, and donors

  n (%)
Potential risks  
 Reduced quality of care 53 (58)
 Lack of oversight 11 (12)
 Drug resistance 10 (11)
 Lack of training 8 (9)
 High workload of lower cadre health workers 3 (3)
 Increased LTFU 3 (3)
 Insufficient clarity about tasks 2 (2)
 Power conflict with MD 1 (1)
Potential benefits  
 Increased ART access 70 (48)
 Reduced workload for MDs 25 (17)
 Reduced patient waiting time 14 (10)
 Improved patient follow-up 10 (7)
 Improved quality of ART care 8 (6)
 More integrated services 7 (5)
 Increased skills health workers 5 (3)
 Improved adherence 4 (3)
 Reduced HIV stigma 1 (1)
 Already occurring 1 (1)
Potential strategies to minimize risks
 Better in-service training 54 (36)
 Ongoing supervision and evaluation 53 (36)
 Improve communication among clinicians, including clear job descriptions 19 (13)
 Job aids 8 (5)
 Improve work conditions 4 (3)
 Improve patient follow-up 3 (2)
 Ensure basic lab tests are done 2 (1)
 Improve referral mechanisms 2 (1)
 More time for consults 1 (1)
 Prioritize OI treatment 1 (1)
 Only train good clinicians 1 (1)
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