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 Workplace health and safety for health personnel

Staffing  Basic and additional staffing for primary health centres  Catchment population: for small (< 7000) and big ( ,000) health centres  Expected case load: Expected number of patients = estimated adult HIV prevalence X Catchment popn/2

Basic staffing 1 cleaner 1 watchman Small health centres 2 nurses 2 cleaners 1 watchman Large health centres 1 clinical officer 5 nurses 1 pharmacy tech 1 laboratory tech

Additional staff for HIV care Additional support staff required Additional clinical staff required Expected # of patients 1-2 lay providersnone< clerk/triage officer 2 lay counsellors 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 Both trained IMCI, IMAI acute care, care for pregnant women 2 nurses trained IMCI, IMAI acute care, IMPAC1 clinical officer 2 trained IMCI 2 trained IMAI acute care 1 trained in care for pregnant women 5 nurses Supply management Laboratory skills 1 pharmacy tech 1 laboratory tech

Task shifting Within clinical staff To lay providers Systematic with the help of evidence Role of PLHIV in health service provision

Clinical mentoring New 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 personnel TB infection control in the health care setups Occupational HIV exposure management

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