Page 253 - SAHCS HIVMed Journal Vol 20 No 1 2019

Page 4 of 7 Original Research

TABLE 2: Influencing factors.
Influencing factor Frequency (n) % Confidence Knowledge
p p
1. Experience
Years of experience in HIV management
Less than 1 year 4 5.2 0.25 0.45
1 to less than 2 years 25 32.5
2–5 years 28 36.4
More than 5 years 20 26
Years of experience initiating ART
Less than 1 year 6 8.1 0.08 0.16
1 year to < 2 years 34 45.9
2–5 years 28 37.8
More than 5 years 6 8.1
2. Training
Training course
Time of HIV management training (various courses)
> 3 years 46 59.7 0.06 0.68
3 years or less 31 40.3
Time of PACK training
> 3 years 47 61.0 0.75 < 0.01
3 years or less 30 39.0
Time of dispensing course
> 3 years 32 41.5 0.75 0.01
3 years or less 12 15.5
None 33 43.0
NIMART training and mentoring
Time of NIMART training
>3 years 24 31.2 0.14 0.56
3 years or less 53 68.8
Duration of NIMART mentoring
1 week 20 26 < 0.01 0.09
2 weeks 5 6.5
> 2 weeks–2 months 29 37.7
> 2 months 21 27.2
Other 2 2.6
3. Continuous mentoring and support
How often does the ART doctor visit the clinic?
Daily 40 51.9 0.78 0.06
Weekly 28 36.5
Monthly 1 1.3
Annually 0 0
Never 8 10.4
Are clinical mentors or a supervising clinician for HIV/TB/ART assigned to your clinic or district?
Yes 57 74.0 0.49 0.43
No 20 26.0
How often do you have contact sessions with your clinical mentor or a supervising clinician?
Daily 20 35.1 0.37 0.10
Weekly 19 33.3
Monthly 14 24.6
Annually 3 5.3
Never 1 1.8
4. Workload, motivation, facility equipment and general satisfaction
Do you feel your workload is acceptable?
Yes 43 55.8 0.65 0.28
No 34 44.2
Do you feel motivated towards your work?
Yes 68 88.3 0.45 0.34
No 9 11.7
Do you feel that the facilities and equipment at the clinic are adequate for the delivery of HIV care?
Yes 58 75.3 0.70 0.98
No 19 24.7
Are you satisfied with your work conditions (e.g. work environment, salary and work hours)?
Yes 40 51.9 0.27 0.31
No 37 48.1
5. Quality assurance mechanisms
Feedback is received about
Personal performance relating to prescribing and monitoring patients on ART
Yes 51 66.2 0.47 0.01
No 26 33.8
Performance of the clinic related to the provision of ART
Yes 62 80.5 0.92 < 0.05
No 15 19.5
PACK, Practical Approach to Care Kit (flowchart-based ART guidelines); HIV, human immunodeficiency virus; ART, antiretroviral therapy; NIMART, nurse-initiated and managed antiretroviral
4
therapy.
Note: The median number of monthly ART initiations by participants in the 3 months prior to the study was 7 (IQR 9) and the median number of ART follow-ups was 126.5 (IQR 347).

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