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Human Resource Chapter . Eyerusalem (yerus) Negussie, HIV/AIDS department, WHO/Geneva, . Major areas. Staffing requirements: number and building the skill and knowledge of care providers, who for which service Task shifting for basic primary care and HIV services - PowerPoint PPT Presentation
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Human Resource Chapter
Eyerusalem (yerus) Negussie,
HIV/AIDS department, WHO/Geneva,
Major areasStaffing requirements: number and building the
skill and knowledge of care providers, who for which service
Task shifting for basic primary care and HIV services
Workplace health and safety for health personnel
Staffing Basic and additional staffing for primary health centres
Catchment population: for small (< 7000) and big (7000-20,000) health centres
Expected case load:
Expected number of patients =
estimated adult HIV prevalence X Catchment popn/2
Basic staffingSmall health centres
2 nurses
1 cleaner
1 watchman Large health centres
1 clinical officer
5 nurses
1 pharmacy tech
1 laboratory tech
2 cleaners
1 watchman
Additional staff for HIV careExpected # of patients
Additional clinical staff required
Additional support staff required
< 100none1-2 lay providers
1001-25011 clerk/triage officer
2 lay counsellors
251-5001-21 clerk/triage officer
3 lay counsellors
Who for what Head HIV clinical provider
Clinical provider
Clerk
Counsellor
Community health worker
Laboratory staff
Pharmacy staff
Cleaning staff and watchmen
Training 2 nursesBoth trained IMCI, IMAI acute care, care for
pregnant women
1 clinical officertrained IMCI, IMAI acute care, IMPAC
5 nurses2 trained IMCI
2 trained IMAI acute care
1 trained in care for pregnant women1 pharmacy tech
1 laboratory tech
Supply management
Laboratory skills
Task shiftingWithin clinical staff
To lay providers
Systematic with the help of evidence
Role of PLHIV in health service provision
Clinical mentoringNew sites require one mentoring visit every month
for the first 6 months, followed by 1 visit every 2-3 months
Each mentoring visit requires at least one day
The clinical team should be prepared for these visit by blocking the dates and selecting cases for review
Safety of health personnelTB infection control in the health care
setups
Occupational HIV exposure management
THANK YOU