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Table 1 Percent of performance standards (PS) fulfilled across all assessed facilities

From: Assessment of service quality of public antiretroviral treatment (ART) clinics in South Africa: a cross-sectional study

Service area n Percent PS fulfilled
Reception (admin clerk)   
Opens a file for the patient 69 98.6
Checks if patient has a referral letter 70 95.7
Checks if patient brought lab result 70 91.4
Shows patient where to go next 69 85.5
Greets patient 70 74.3
Immediately shows patient to the nurse 68 69.1
Confirms booking 69 59.4
Front station (nurse)   
Checks blood pressure 66 87.9
Measures weight 68 80.9
Checks pulse 67 79.1
Tells patient where to go next 67 76.1
Greets patient 68 66.2
Checks temperature 65 63.1
Measures height 66 39.4
Clinician’s Consultation (medical doctor)   
Reviews lab results 54 87.0
Asks about previous TB history 59 86.4
Tells patient where to go next 57 82.8
Asks about alcohol, smoking and other drugs 57 80.7
Greets patient 59 79.7
Determines timeframe for follow-up visit 58 79.3
Asks about previous diseases 57 78.9
Asks about previous medication 58 75.9
Asks about loss of weight 58 72.4
Asks about concomitant medications (e.g. herbal medication) 58 72.4
Asks about the use of any prophylaxis 57 71.9
Asks about coughing 57 66.7
Verifies previous exposure to antiretroviral drugs 58 60.3
Asks about night sweat 59 57.6
Asks about difficulty in breathing 59 52.5
Checks psycho-social condition 54 51.9
Confirms/excludes pregnancy (women only) 43 46.5
Performs physical examination 56 41.1
Requests to bring all concurrent medications at the next visit 56 37.5
Refers for cervix cancer screening smear (women only) 34 35.3
HIV counselling (lay counsellor)   
Greets patient 49 87.8
Reinforces the importance of using ART always at the same time 49 83.7
Provides the information that ART may cause adverse effects 48 83.3
Tells patient where to go next 46 78.3
Provides information that ART is a combination of medicine 49 77.6
Provides the information that ART doesn't cure AIDS but prolong life 49 77.6
Completes form 47 74.5
Discusses the importance of avoidance of alcohol and other drugs 49 73.5
Discusses prevention of HIV super-infection 46 69.6
Explains the importance of adherence with regard to resistance 49 69.4
Assesses patient’s knowledge of ART 48 68.8
Discusses the importance of proper nutrition 48 66.7
Discusses ART and how antiretroviral drugs work 49 65.3
Advises patient not to stop medicines without talking to clinician 49 65.3
Advises not to start any new medicines without consultation 49 65.3
Discusses prevention of HIV infection of others 48 64.6
Recommends the use of reminder tools for use of ART 48 62.5
Discusses the importance of physical activities 49 61.2
Shows types of ART as samples 49 53.1
Discusses PMTCT (women only) 34 50.0
Advises patient not to share medication with others 49 46.9
Social worker’s assessment (social worker)  
Confirms contact information 9 100.0
Greets patient 9 88.9
Tells patient where to go next 9 88.9
Assesses alcohol and other drug use 10 80.0
Assesses housing 10 80.0
Assesses access to transportation 10 70.0
Verifies if patient qualify for grant application 10 70.0
Assesses need for food supplements 10 70.0
Assesses social violence 9 44.4
Nutrition counselling (dietician)  
Greets patient 10 90.0
Performs nutritional evaluation 10 90.0
Tells patient where to go next 10 90.0
Provides dietary education 10 90.0
Completes nutritional risk score 10 80.0
Provides basic knowledge of food security 10 70.0
Pharmacy (pharmacist/pharmacy assistant)  
Reviews the prescribed drugs 37 91.9
Counsels patient on treatment 37 83.8
  1. n: number of assessments by participant observers; PS: performance standards.