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Table 1 Task-shifting and task-sharing of antiretroviral therapy services, by clusters

From: Identifying models of HIV care and treatment service delivery in Tanzania, Uganda, and Zambia using cluster analysis and Delphi survey

Cadre and Rolesa CLUSTER 1 Traditional Model (N = 5) CLUSTER 2 Mixed Model (N = 10) CLUSTER 3 Task-Shifted Model (N = 4)
n % n % n %
Medical doctor
 ART initial prescription 5 100 10 100 0 0
 ART monitoring & management 5 100 10 100 0 0
 Clinical services 5 100 10 100 0 0
 Referral services 4 87 10 100 0 0
 ART adherence counselling 0 0 4 40 0 0
Clinical officer
 ART initial prescription 2 40 9 90 4 100
 ART monitoring & management 2 40 10 100 4 100
 Clinical services 2 40 10 100 4 100
 Referral services 2 40 10 100 4 100
 ART adherence counselling 0 0 7 70 0 0
Nurse/ Midwife
 Registration 3 60 2 20 2 50
 ART initial prescription 0 0 4 40 3 75
 ART monitoring and management 2 40 6 60 3 75
 Clinical services 1 20 7 70 2 50
 Referral services 0 0 7 70 3 75
 ART dispensing at the HIV clinic 1 20 4 40 3 75
 ART adherence counselling 2 40 8 80 2 50
 Phlebotomy 0 0 5 50 1 25
 Patient tracing for missed appointments & defaulters 0 0 3 30 1 25
 Medical records management 1 20 2 20 1 25
Counsellor
 Triage 0 0 4 40 1 25
 ART adherence counselling 2 40 7 70 2 50
 Patient tracing 0 0 3 30 0 0
Pharmacist
 ART dispensing at the HIV clinic 3 60 2 20 1 25
Pharmacy technician
 ART dispensing at the HIV clinic 2 40 7 70 0 0
 ART adherence counselling 0 0 3 30 0 0
Laboratory technician
 Phlebotomy 2 40 7 70 3 75
Data clerk
 Registration 2 40 1 10 1 25
 Patient tracing for missed appointments & defaulters 1 20 2 20 1 25
 Medical records management 3 60 2 20 4 100
Lay health worker
 Registration 1 20 4 40 0 0
 Patient tracing for missed appointments & defaulters at the HIV clinic 0 0 4 40 1 25
Community health worker
 Patient tracing for missed appointments & defaulters at the HIV clinic 3 60 3 30 1 25
  1. aThese are actual roles performed by cadres on a typical day in the ART clinic; they may vary from expected roles noted in a country policy guideline