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Table 2 Average time spent per patient on different PMTCT tasks

From: The potential of task-shifting in scaling up services for prevention of mother-to-child transmission of HIV: a time and motion study in Dar es Salaam, Tanzania

Task

Observations (N)

% time

Mean task time (minutes)

95% CI

First antenatal PMTCT visit

 Pretest counselling

36

16.2

8.7

6.1–11.3

 HIV testing (rapid test)

36

12.1

6.5

4.0–9.0

 Filling lab forms

16

2.6

3.1

2.6–3.7

 Giving HIV results

36

5.8

3.1

2.5–3.6

 Posttest counselling

36

9.5

5.1

3.9–6.3

 Filling log book

36

4.7

2.5

2.1–3.0

 Filling PMTCT care register

34

5.5

3.1

2.6–3.7

 Map cue

27

11.5

8.2

6.3–10.1

 ART adherence counselling

25

9.6

7.4

4.4–10.5

 Filling CTC no. 1a and no. 2b

25

7.0

5.4

4.0–6.9

 HIV disease staging (WHO)c

26

3.1

2.3

1.9–2.7

 Taking blood sample for CD4 count testingc

16

2.6

3.1

2.2–3.9

 Dispensing antiretroviral drugs

26

4.6

3.4

2.5–4.4

 Infant feeding counselling

25

4.9

3.8

3.2–4.4

 Filling referral forms

3

0.3

2.0

2.0–2.0

 Total

36

100

53.5

41.8–65.2

Antenatal PMTCT follow-up visit

 Filling PMTCT care register

59

24.4

4.3

3.7–4.9

 Checking for ART adherence

62

23.8

4.0

3.0–4.9

 HIV disease staging (WHO)c

24

6.2

2.7

2.3–3.0

 Infant feeding counselling

47

25.7

5.7

5.0–6.4

 Antiretroviral drug refill

61

19.9

3.4

2.8–3.9

 Total

69

100

15.0

13.5–16.6

  1. CI confidence interval, ART antiretroviral treatment
  2. aCare and treatment cards (CTCs) are used in Tanzania for all registered patients living with HIV and contains a unique patient identification number and key information on patient management recorded during each visit
  3. bCTC1 is an identification card kept by the patient; CTC2 is a record form kept at the clinic
  4. cTasks that can cannot be shifted from nurses to CHWs, according to WHO task-shifting guidelines [18]