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Table 4 Characteristics of various nurse trainings available as standard of care in all ART and primary care sites compared with training offered at intervention clinics during STRETCH intervention

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

  Free State Department of Health ART course (Standard training) PALSA PLUS training (Standard training) STRETCH Training (Additional training in intervention clinics)
Description Two- week training course comprising one week of lectures and one week of practical training One- to two-hour sessions weekly or fortnightly of case scenario-based interactive training in use of PALSA PLUS guidelines (six to eight sessions in total) One- to two-hour sessions weekly or fortnightly of case scenario-based interactive training in use of PALSA PLUS STRETCH guidelines (four sessions in total)
Trainers Senior doctors, pharmacists dieticians and social workers working in ART programme Middle level nurse managers trained as PALSA PLUS trainers Middle level nurse managers trained as PALSA PLUS and STRETCH trainers
Trainees Doctors, professional nurses enrolled nurses pharmacists and social workers involved in providing primary care services at hospitals and clinics across the province Professional and enrolled nurses and ancillary staff at all intervention and control clinics and primary care clinics throughout the province. All professional nurses (whether appointed to ART or primary care posts) at 16 intervention sites only
Setting Local classrooms located throughout the province to which lectures are broadcast.
Local ART sites during practical training
Training sessions held at the clinic Training sessions held at the clinic
Mode of delivery Lectures broadcast live from central studio with limited telephone interaction.
Face-to-face with staff at ART sites during practical training
Face-to-face small group facilitative work Face-to-face small group facilitative work
Intensity and duration Full day training for one week of lectures and one week of practical training One to two hours once every week or two weeks for two to three months One to two hours once every week for four weeks