Table 12

Summary of ART experience and patient:staff ratios from ATSAP surveys§







Patient-to-staff ratios***
Setting
 Type*
 Years ART
 No. on ART to date
 No. on ART
 Target no. on ART
 Current no. pts/mo
 MD
 Nurse
 MD plus MO/CO
 PLWH
 Other educators
 Counsellors
 Ph
 Lab tech.
 CHW
 Admin. or Manager
Urban
 HIV
 5
 1350
 500
 1000
 30
 500
 250
 -
 333
 -
 333
 500
 500
 333
 0
Urban
 HIV/CH
 3
 1000
 1000
 1000
 90
 666
 1000
 -
 -
 -
 -
 -
 -
 -
 -
Urban
 Med NGO+
 5
 800
 800
 1000
 25
 500
 1000
 -
 -
 -
 -
 333
 500
1000
Rural
 HIV DH
 2
 554
 445
 "not at target"
 65
 297
 222
 52
 -
 -
 178
 445
 297
 445
 127
Urban
 HIV CH
 2
 400
 400
 N/A
 25
 133
 100
 57
 -
 -
 400
 200
 200
 100
 400
Urban
 HIV PHC
 2
 288
 288
 N/A
 N/A
 192
 144
 -
 -
 -
 144
 -
 -
 -
 -
Rural
 Med CH
 2
 109
 61
 "could be higher"
 N/A
 244
 -
 -
 -
 -
 -
 610
 610

Rural
 Med Clinic
 UNK
 100
 100
 N/A
 5
 300
 50
 -
 -
 -
 -
 -
 -
 -
 -
Suburban
 HIV/DH
 4
 83
 40
 1000
 3****
 400
 80
 -
 -
 80
-
 -
 80
Suburban
 Med DH
 0.4
 80
 80
 250
 ~20
 250
 50
 -
 -
 -
 125
 500
 250
 250
 500
Urban
 HIV CH
 .5
 76
 69
 N/A
 10
 95
 25
 33
 11
 76
 -
 152
 -
 -
 38
Urban
 MTCT plus NGO+
 0.5
 64
 64
 250
 5–10
 833
 93
 139
 -
 250
 42
 833
 417
104
Urban
 Med CH/PHC
 1
 45
 45
 N/A
 15
 45
 11.25
 36
 45
 -
 -
 45

90
Urban
 ART only/CH
 1
 N/A
 202
35
 202
 67
 101
 -
 -
 Nurses
 -
 81
404

§When available, patient:staff ratios are based on proposed maximum site capacity

* Med: integrated into general medicine; HIV: specialized HIV only

CH: central or provincial hospital, DH: district level hospital; PHC: primary health clinic

+NGO: Nongovernmental organization-run referral tertiary care hospital

++years ART; number of years site has been providing ART

**MD: physician, MO: medical officer, CO: clinical officer, Ph: pharmacist or pharmacy technician, P=PLWH. CHW: Community health worker; N/A not available

***If target available, ratios calculated as if reached target (in bold). If the target or maximum predicted capacity was not given, ratios calculated based on current patients

**** limited by costs

Hirschhorn et al. Human Resources for Health 2006 4:1   doi:10.1186/1478-4491-4-1

Open Data