Additional staff members are not required to provide differentiated ART delivery. However, health care workers must be engaged from the beginning of implementation so that they understand why the change is being made and how the intervention will be monitored.
The initial planning phase for differentiating ART delivery may require an experienced health care worker, such as the district ART coordinator, to kick-start training and reorganize clinic flow in the beginning.
Rather than prescribing what cadre of staff is needed for any given model, a review of how the service may be implemented in a given setting is encouraged. Many clinics have found local solutions to staffing differentiated models of ART delivery. For example, a specific midwife could be tasked with reorganizing client bookings and clinic flow to facilitate PMTCT integration, or a lay provider or expert client could be assigned to facilitate an ART adherence club.