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