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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) utilization

Nurse 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]

Tuesdaya

–

–

–

323/480 (67%)

345/480 (72%)

408/480 (85%)

Wednesday

–

–

–

232/480 (48.3%)

248/480 (52%)

326/480 (68%)

Thursdaya

–

–

–

186/480 (38.7%)

186/480 (39%)

227/480 (47%)

Friday

–

–

–

0

0

0

Monday

293/480 (61%)

301/480 (63%)

323/480 (67%)

0

0

0

Tuesday

246/300 (82%)

246/300 (82%)

305/300 (102%)b

0

0

0

Wednesday

295/480 (61%)

295/480 (61%)

295/480 (61%)

0

0

0

Thursday

529/570 (93%)

529/570 (93%)

575/570 (101%)b

0

0

0

Friday

378/480 (79%)

378/480 (79%)

378/480 (79%)

0

0

0

Monday

302/480 (63%)

302/480 (63%)

332/480 (69%)

323/480 (67%)

323/480 (67%)

344/480 (72%)

Tuesday

166/480 (35%)

166/480 (35%)

178/480 (37%)

230/360 (64%)

230/360 (64%)

293/360 (81%)

Wednesday

413/480 (86%)

413/480 (86%)

422/480 (88%)

293/480 (61%)

293/480 (61%)

385/480 (80%)

Thursdaya

0

0

0

303/480 (63%)

314/480 (65%)

377/480 (78%)

Friday

62/120 (52%)

62/120 (52%)

62/120 (52%)

331/480 (69%)

331/480 (69%)

424/480 (88%)

Monday

431/480 (90%)

431/480 (90%)

431/480 (90%)

383/480 (80%)

383/480 (80%)

399/480 (83%)

Tuesday

0

0

0

369/480 (77%)

383/480 (80%)

419/480 (87%)

Wednesday

0

0

0

141/480 (30%)

141/480 (30%)

141/480 (30%)

Thursdaya

0

0

0

195/480 (41%)

195/480 (41%)

211/480 (44%)

Friday

0

0

0

301/480 (61%)

301/480 (63%)

301/480 (63%)

Monday

216/360 (60%)

216/360 (60%)

216/360 (60%)

275/360 (77%)

283/360 (79%)

300/360 (83%)

OVERALL

3331/4710 (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