Using lean manufacturing principles to evaluate wait times for HIV-positive patients in an urban clinic in Kenya

As HIV treatment programs expand in Africa, strengthening clinic systems is essential for improving patient retention. This study used lean manufacturing principles to assess patient flow and experience in an urban Kenyan HIV clinic. Key barriers identified included inconsistent patient arrivals and staffing, filing system issues, and serving patients out of order—all contributing to long, variable wait times. Focus group discussions revealed how these inefficiencies hinder patient engagement. Clinic staff welcomed the findings and proposed low-cost solutions. Applying lean methods in low-resource settings can help streamline operations, enhance patient satisfaction, and potentially improve retention in care

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