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