Table 1

Traditional and modified tasks for nurses and physicians within the HIV/ART care program

MD-CENTERED

NURSE-CENTERED

Role MD

Role Nurse

Role MD

Role Nurse


Pre-ART care

Initial physical exam/staging

X

X

Ordering CD4 count

X

X

X

Assessment of ART eligibility

X

X

FU of non-eligible patients

X

X

CTX refill

X

-b

Complex medical cases

X

X

ART care

Ordering lab tests

X

X

X

Interpretation of lab tests

X

X

ART initiation and FU

Non-complex cases

X

X

Complex casesa

X

X

ART refill

X

-b

Register keeping/reporting

X

-b

Filing of results/medical records

X

-b

Training/mentoring

X

Supervision

X


a Complex cases included those with advanced HIV disease, severe/persistent opportunistic infections, severe ART side-effects, suspicion of ART failure, severe or recurrent non-adherence to ART.

b Activities taken over from the ARV nurse by other staff.

ART: antiretroviral therapy; FU: follow-up; CTX: cotrimoxazole; MD: medical doctor

van Griensven et al. BMC Pediatrics 2008 8:39   doi:10.1186/1471-2431-8-39

Open Data