Evaluating STI - Health Systems Trust

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3. STAFF WORKLOAD AND TRAINING
This section gives information on the workload of clinicians as well as what proportion have undergone specific training in syndromic management
and HIV counselling. Have at least half of the clinicians been trained in syndromic management, and is there at least one clinician trained in HIV
counselling?
Total number of professional nurses Enter number from 21a 5 6 3 5
Average number of clients per day Total number clients 6a
Number of working days
Average number of clients per
clinician per day
Number of clients per day
Number of clinicians 21a
Calculating the average number of clients per clinician per day will give an indication of the workload at each clinic.
The total number of clients was the first figure recorded on the summary sheet – taken from 6a on the DISCA.
The number of working days depends how many days a week the clinic is open and how many working days there were in that month. This number
could range from 20 (clinics open 5 days a week ) to 30 (a clinic that offers a 7 day a week service).
Number trained in syndromic
management Enter number from 21b 4 6 3 1
Percentage trained in syndromic Number trained 21b x 100
management
Total number clinicians 21a
When looking at the percentage of clinicians who have been trained in syndromic management, it would be useful to compare this with the
percentage of clients given the correct treatment (The last item under Section 5 of the summary sheet). Are more clients receiving correct
treatment at those clinics where more clinicians have been trained? If not, (as in the examples of Clinic B) other factors also need to be considered.
Were all the drugs available for correct treatment? Did the incorrect treatments relate to the drugs that were out of stock?
Attending a training course does not always mean that what was presented during the training is being implemented in clinical practice.