Operational plan for comprehensive HIV and AIDS care and ...

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DRAFT - Confidential Table 5.1: Total Patients receiving CD4 tests and ARV Treatment by Year* Year Patients receiving CD4 tests ARV Patients Total 2003/04 212,000 53,000 265,000 2004/05 628,705 188,665 817,370 2005/06 1,078,446 381,177 1,459,623 2006/07 1,497,580 645,740 2,143,320 2007/08 2,167,834 1,001,534 3,169,368 *Note: This table represents the mid-point of the range of patients projected using the ASSA2000 model to access the system for CD4 tests and ARV treatment. Table 5.2: Patient Visits per Year Year Patient Visits 2003/04* 265,353 2004/05 3,592,428 2005/06 7,088,948 2006/07 11,661,119 2007/08 17,848,642 * This represents a 3-month period. Chapter V: Human Resources and Training 105
DRAFT - Confidential Table 5.3: Core Staffing Requirements Per Service Site to Treat 500 Patients with ARVs Category of Staff Minimum (FTE) Medical Officers 1 Professional Nurses 2 Pharmacists 1 Dieticians/Nutritionists 1 Social Workers .5 Lay Counsellors 5 Administrative Clerks 1 Data Capturers 1 Total 12.5 Table 5.4: Workload By Category of Health Care Worker, by Patient Contacthours per Day Assumption Long Visits Total patient visits / worker / yr Visit length (hours) Visits / day Assumption Short Visits Total patient visits / worker / yr Visit length (hours) Visits / day Visits ppy Visits ppy Medical Officers 2 1458 0.75 6.3 2 1458 0.25 6.3 Professional Nurses 10 2431 0.5 10.6 2 486 0.25 2.1 Enrolled Nurses 12 4375 0.25 19.0 0 0 0 0.0 Assistant Nurses 12 4375 0.2 19.0 0 0 0 0.0 Pharmacists 1 729 0.33 3.2 0 0 0 0.0 Pharmacist Assistants 12 8751 0.2 38.0 0 0 0 0.0 Dieticians 2 2917 0.5 12.7 0 0 0 0.0 Social Workers 2 2917 0.5 12.7 0 0 0 0.0 Counsellors 24 1750 1 7.6 0 0 0 0.0 Admin Clerks 12 4375 0.25 19.0 0 0 0 0.0 *Note: These estimates are based on worker productivity as implementation scales up. It is assumed that productivity will be lower in the initial phase, as staff members will have less experience in delivering care and number of patient visits per day may evolve over an initial implementation period. This table provides a breakdown of the total number of patient visits each health care worker will likely see, detailed by “long visits” for new patients and “short visits” for existing patients/patients with few complications. Chapter V: Human Resources and Training 106
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OPERATIONAL PLAN FOR COMPREHENSIVE
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LIST OF TABLES Table 0.1: Total Pro
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LIST OF ACRONYMS ADR AIDS ALT API A
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Foreword I would like to thank the
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We hope that all South Africans who
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16. Dr. Fazel Randera, Health Advis
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Executive Summary BACKGROUND 1. The
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6. Following the discussion of this
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health status and to prolong life),
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extreme inequalities and disparitie
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9.5 Providing a Comprehensive Conti
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efforts through additional investme
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elements in a containment strategy
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18. The programme detailed in this
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monitoring of patients for TB, a co
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40 The drug procurement strategies
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follow-up and monitoring for patien
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CHAPTER III - TRADITIONAL MEDICINE
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74 The minimum service point accred
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85. Task Team projections of AIDS p
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patented and/or branded drugs suppl
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102. It proposes a significant expa
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measure the outcomes of the program
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119. Examples of specific research
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Table 0.1: Total Programme Budget E
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the existing health care system and
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Table 0.2: New Patients Starting AR
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DRAFT - Confidential delivery, the
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DRAFT - Confidential Pharmacies at
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DRAFT - Confidential • The Pharma
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DRAFT - Confidential as a contingen
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DRAFT - Confidential the first five
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DRAFT - Confidential • Improving
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DRAFT - Confidential Johannesburg.
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DRAFT - Confidential Infant diagnos
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DRAFT - Confidential SECTION FOUR C
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DRAFT - Confidential Chapter X Soci
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DRAFT - Confidential • Clear guid
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DRAFT - Confidential communities, a
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DRAFT - Confidential Care and Suppo
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DRAFT - Confidential The communicat
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DRAFT - Confidential SECTION FIVE I
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DRAFT - Confidential The systems sh
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DRAFT - Confidential and location o
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DRAFT - Confidential should enable
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DRAFT - Confidential The Cluster of
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DRAFT - Confidential or services. O
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DRAFT - Confidential Monitoring of
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DRAFT - Confidential The majority o
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DRAFT - Confidential Comparable rol
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DRAFT - Confidential Chapter XIII P
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DRAFT - Confidential drug-food inte
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DRAFT - Confidential Antimicrobial
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DRAFT - Confidential PROGRAMME ASSE
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DRAFT - Confidential agenda: to con
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DRAFT - Confidential South African
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DRAFT - Confidential AIDS in South
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DRAFT - Confidential There has been
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DRAFT - Confidential • What is th
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DRAFT - Confidential HIV infection
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DRAFT - Confidential • Determinat
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DRAFT - Confidential Research Overs
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DRAFT - Confidential SECTION SIX MA
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DRAFT - Confidential continual revi
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DRAFT - Confidential The work of th
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DRAFT - Confidential Figure 15.3: C
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DRAFT - Confidential continuous pro
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DRAFT - Confidential Finally, mecha
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DRAFT - Confidential protocols. The
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DRAFT - Confidential Table 16.1: Es
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DRAFT - Confidential required for t
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DRAFT - Confidential and consumable
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DRAFT - Confidential will also allo
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DRAFT - Confidential Table 16.8: Pl
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DRAFT - Confidential Table 16.11: T
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DRAFT - Confidential mechanisms to
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DRAFT - Confidential Table 16.16: S
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DRAFT - Confidential Table 16.19: T
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DRAFT - Confidential Given the cons
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DRAFT - Confidential month follow-u
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