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Table 3 Nurse utilization under 3 scenarios

From: Integrating HIV, syphilis, malaria and anaemia point-of-care testing (POCT) for antenatal care at dispensaries in western Kenya: discrete-event simulation modelling of operational impact

 Nurse 1 (OP) utilizationNurse 2 (MCH) utilization
Without integrated POCT [0]With integrated POCT [1]With integrated POCT & adequate consult times [2]Without integrated POCT [0]With integrated POCT [1]With integrated POCT & adequate consult times [2]
Tuesdaya323/480 (67%)345/480 (72%)408/480 (85%)
Wednesday232/480 (48.3%)248/480 (52%)326/480 (68%)
Thursdaya186/480 (38.7%)186/480 (39%)227/480 (47%)
Friday000
Monday293/480 (61%)301/480 (63%)323/480 (67%)000
Tuesday246/300 (82%)246/300 (82%)305/300 (102%)b000
Wednesday295/480 (61%)295/480 (61%)295/480 (61%)000
Thursday529/570 (93%)529/570 (93%)575/570 (101%)b000
Friday378/480 (79%)378/480 (79%)378/480 (79%)000
Monday302/480 (63%)302/480 (63%)332/480 (69%)323/480 (67%)323/480 (67%)344/480 (72%)
Tuesday166/480 (35%)166/480 (35%)178/480 (37%)230/360 (64%)230/360 (64%)293/360 (81%)
Wednesday413/480 (86%)413/480 (86%)422/480 (88%)293/480 (61%)293/480 (61%)385/480 (80%)
Thursdaya000303/480 (63%)314/480 (65%)377/480 (78%)
Friday62/120 (52%)62/120 (52%)62/120 (52%)331/480 (69%)331/480 (69%)424/480 (88%)
Monday431/480 (90%)431/480 (90%)431/480 (90%)383/480 (80%)383/480 (80%)399/480 (83%)
Tuesday000369/480 (77%)383/480 (80%)419/480 (87%)
Wednesday000141/480 (30%)141/480 (30%)141/480 (30%)
Thursdaya000195/480 (41%)195/480 (41%)211/480 (44%)
Friday000301/480 (61%)301/480 (63%)301/480 (63%)
Monday216/360 (60%)216/360 (60%)216/360 (60%)275/360 (77%)283/360 (79%)300/360 (83%)
OVERALL3331/4710 (71%)3339/4710 (71%)3517/4710 (75%)3885/6480 (60%)3956/6480 (61%)4555/6480 (70%)
p-value c [1] vs [0] p = 0.3173[2] vs [1] p = 0.0148 [1] vs [0] p = 0.0258[2] vs [1] p = 0.0008
  1. Nurse 1 spent approximately 870 min (18.5%) and Nurse 2 spent approximately 1410 min (21.8%) of their utilization time on paperwork
  2. OP out-patient clients, MCH maternal and child health clients, POCT point-of-care testing
  3. a Clinical officer on duty- out of 390-min shifts, the clinical officer had less than 50% utilization each day. For scenario 3, the CO was modelled to help with child immunization when he was available
  4. b Nurse utilizations generated by the model can be over 100% because the resource is given an allowance to carry on processing any on-going activity after the shift has finished
  5. c Wilcoxon sign-rank test