Human resource needs and costs for HIV pre-exposure prophylaxis provision in nurse-led primary care in Eswatini and opportunities for task sharing﻿

Table 3 Predicted human resource costs for PrEP activities by health care worker qualification

Human resource costs ($)	Nursing sister	Nurse	Nurse assistant	Phlebotomist	HTS counselor	Peer supporter
Unit cost of time
Salary per minute	0.26 (0.24–0.27)	0.16 (0.12–0.20)	0.11 (0.11–0.12)	0.063 (0.055–0.072)	0.047	0.014
Fixed time cost
Fixed cost per PrEP visit	2.26 [1.48–3.13]	1.39 [0.76–2.27]	0.99 [0.66–1.36]	0.56 [0.34–0.83]	0.42 [0.29–0.54]	0.12 [0.086–0.16]
Cost of PrEP activity
Pre-PrEP counseling	0.76 [0–1.95]	0.47 [0–1.42]	0.33 [0–0.85]		0.14 [0–0.34]	0.042 [0–0.10]
HIV risk assessment	0.45 [0–1.66]	0.28 [0–1.21]	0.20 [0–0.72]		0.083 [0–0.29]	0.025 [0–0.087]
PrEP eligibility screening	0.82 [0.0010–1.74]	0.51 [0.00052–1.26]	0.36 [0.00045–0.76]
PrEP initiation	2.28 [1.17–3.51]	1.40 [0.60–2.55]	1.00 [0.52–1.53]
Follow-up counseling	1.06 [0.30–1.91]	0.65 [0.15–1.38]	0.46 [0.13–0.83]		0.19 [0.058–0.33]
Blood testing	0.82 [0.32–1.37]	0.50 [0.16–0.99]	0.36 [0.14–0.59]	0.20 [0.072–0.36]	0.15 [0.062–0.24]

() = range. [] = uncertainty interval. Nurse = registered nurse with single or double qualification. HTS = HIV testing services. Peer supporter = mother-to-mother mentor or expert client. Empty cell = health care worker unlikely to provide this PrEP activity. Time needs estimated based on Table 2 Model 1. Time needs estimated based on Table 2 Model 2 are provided in Additional file 1: Supplement A Table S6

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