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Table 6 Clinic model - effect of task shifting on health cadre work hours (based on 35 patient visits per day)

From: Time savings – realized and potential – and fair compensation for community health workers in Kenyan health facilities: a mixed-methods approach

  Current scenario a (hours per day) Ideal scenario b (hours per day) Difference c (hours per day)
Health cadre More efficient Baseline Less efficient More efficient Baseline Less efficient More efficient Baseline Less efficient
Clinician 4.7 10.2 19.8 1.8 4.1 8.2 −2.9 −6.1 −11.6
CHW 6.3 9.3 14.5 11.0 18.8 33.2 +4.7 +9.5 +18.7
Total 9.3 19.5 38.5 11.7 22.9 47.3 +1.8 +3.4 +7.1
  1. This table presents work hours required by each healthcare worker to provide services to 35 patients per day in current and idealized scenarios. The amount of time required for each cadre to complete a service was varied by a factor of two, representing more and less efficiency, to determine the effects of these assumptions in the model. In the baseline current scenario,a clinicians work 10.2 hours per day while CHWs work 9.3 hours per day. In a baseline ideal scenario,b task shifting would result in clinicians working 4.1 hours per day while CHWs would work 18.8 hours per day. With appropriate tasks shifted to community health workers,c 6.1 hours of clinician time would be freed, while 9.5 hours of community health worker time would be added. If healthcare workers were less efficient at performing tasks, this would have a greater effect on potential time savings than if they were more efficient. CHW, community health worker.