Front-Line Human Resource Time-Use for Early Infant HIV Diagnosis: A Comparative Time-Motion Study at Centralized and Point-of-Care Health Facilities in Zimbabwe.

摘要: Background Point-of-care (POC) assays for early infant diagnosis of HIV (EID) increase access to testing, shorten time results, and expedite initiation antiretroviral therapy when compared with laboratory-based assays. However, there is a significant gap in our understanding its human resource impact at the facility level. This study evaluates front-line health workers' (HWs') associated EID. Setting Using time-motion methodology, we collected time-use data on EID tasks performed by HWs 3 types Zimbabwe-5 POC hubs, 9 spokes, 11 facilities that used centralized laboratories. Methods Data collectors observed 30 processes HWs' provided self-reported time. Comparisons mean differences between were 2-sample t test unequal variances. Results Observed average total labor per was 28 minutes, 22 seconds [95% confidence interval (CI): 22:51 35:48], which equivalent preresult using other while machine processed samples. (counseling sample preparation) 18 6 Supported (95% CI: 13:00 23:42) 27 48 23:48 32:50) The difference 42 03:04 16:18) statistically significant. laboratories or not Conclusion Use did incur additional sending dried blood spots laboratory