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Table 1 Responsibilities for provision of aspects of HIV care at different facilities in the initial ART rollout compared with responsibilities for sites in the STRETCH trial

From: Task shifting and integration of HIV care into primary care in South Africa: The development and content of the streamlining tasks and roles to expand treatment and care for HIV (STRETCH) intervention

Type of facility Responsibilities for HIV care in initial ART Rollout Responsibilities for HIV care for sites in the STRETCH trial
Primary care services • Voluntary counselling and testing • Voluntary counselling and testing
• Initial CD4 count
• Routine HIV care (repeat CD4 counts, clinical staging and TB screening) for patients not requiring ART
• Drug readiness training
• Baseline bloods
• Monthly ART follow-up and issuing of ARVs (after first six months for stable patients)
ART assessment sites • Initial CD4 count
• Routine HIV care (repeat CD4 counts, clinical staging and TB screening) for patients not requiring ART
• Refer patients eligible for ART (Stage IV AIDS or CD4 <200 cells/mm3) to doctor at treatment site
• Drug readiness training
• Baseline bloods
• Monthly ART follow-up and issuing of ARVs
• Initiate uncomplicated patients on ART
• Monthly ART follow-up and issuing of ARVs for first six months
• Six monthly review and repeat ART prescription for stable patients
• Refer complicated patients for initiation and repeat of ART prescription to doctor at treatment site
ART treatment sites • Initiation of patients on ART
• Monthly review first three months
• Six monthly review and repeat ART prescription
• Initiation of complicated patients on ART
• Monthly review first three months of complicated patients
• Six monthly review and repeat ART prescription for complicated patients