Reducing workload and providing better compensation for working with risks were mentioned by almost all health workers at provincial and national level as important solutions. In the interviews, hospital managers suggested that it is very difficult to hire new staff because of the limited budget allocated from the government. A better solution would be to rearrange the services in a more logical structure, for example, to replace individual pretest counselling (which is often not offered anyway) by group counselling, to use peer counsellors to provide counselling and follow-up of care (reducing the burden for health workers and improving the quality of counselling) and to improve the quality of services at a lower level to reduce the burden on the higher levels.