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ZPCT also supported off duty shifts, in which HCWs trained in PMTCT are allowed to work an 'extra shift' and are provided with a transportation reimbursement of US$7 per shift as an incentive which is about 3% of the average monthly salary for nurses [ 11].
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First, scale up of services is possible even with limited human resources but requires innovative alternatives such as multitasking, improving the patient flow, and incorporating non-health workers including supporting off duty shifts for existing staff to provide additional coverage for health facilities.
This includes the allocation of types of consultation to categories of health workers, length of consultation and management time, clinical support requirements and time off duty amongst other indicators.
Our experience has shown that facilitating health workers to acquire the right competencies, for instance, in M&E and CQI, through engaging their institutions to provide them with the necessary support, including financial support and permission to be off duty to attend classes, can contribute to improvement of health service delivery within a short time.
3 6 This is supported by the fact that we had to exclude numerous submitted cases in which the cardiovascular event obviously occurred while off duty.
Catherine was off duty.
I was off duty.
Rayyan was off duty.
Both were off duty.
He knows he's off duty".
Many run triathlons while off duty.
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