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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Strategies for optimizing clinic efficiency in a community-based antiretroviral treatment programme in Uganda
AIDS and Behavior, Volume 17, No. 1, Year 2013
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Description
We address a critical aspect of antiretroviral therapy (ART) scale-up: poor clinic organization leading to long waiting times and reduced patient retention. Using a before and after study design, time and motion studies and qualitative methods we evaluated the impact of triage and longer clinic appointment intervals (triage) on clinic efficiency in a community-based program in Uganda. We compared time waiting to see and time spent with providers for various patient categories and examined patient and provider satisfaction with the triage. Overall, median time spent at the clinic reduced from 206 to 83 min. Total median time waiting to see providers for stable-ART patients reduced from 102 to 20 min while that for patients undergoing ART preparation reduced 88-37 min. Improved patient flow, patient and provider satisfaction and reduced waiting times allowed for service delivery to more patients using the same staff following the implementation of triage. © 2012 Springer Science+Business Media, LLC.
Authors & Co-Authors
Alamo-Talisuna, Stella
Uganda, Kampala
Medical Department
Wagner, Glenn J.
United States, Santa Monica
Rand Corporation
Ouma, Joseph
Unknown Affiliation
Sunday, Pamela
Uganda, Kampala
Monitoring and Evaluation Department
Marie, Laga
Belgium, Antwerpen
Prins Leopold Instituut Voor Tropische Geneeskunde
Colebunders, Robert Leon
Belgium, Antwerpen
Prins Leopold Instituut Voor Tropische Geneeskunde
Belgium, Antwerpen
Universiteit Antwerpen
Wabwire-Mangen, Fred
Uganda, Kampala
Makerere University
Statistics
Citations: 44
Authors: 7
Affiliations: 6
Identifiers
Doi:
10.1007/s10461-012-0199-9
ISSN:
10907165
Research Areas
Health System And Policy
Study Approach
Qualitative
Study Locations
Uganda