**4.6 What is the outcome of the implementation of the NIMART training conceptual framework? (terminus)**

Terminus refers to the outcomes or end results of the activity [14], while [13] describes a terminus as the end product or outcomes of the structure and process. *Perspective Chapter: Enhancing the Nurse-Initiated Management of Antiretroviral Therapy… DOI: http://dx.doi.org/10.5772/intechopen.107982*

The outcomes of effective and efficient implementation of NIMART training facilitate the production of confident, competent, and skilled NIMART nurses who comply with policies and guidelines. This will also facilitate the improvement of patient health status by increasing linkages to ART, improving adherence and retention to care, reducing loss to follow-up (LTFU), enhancing viral suppression, and decanting of the stable patients, and relieving pressure on NIMART nurses. Furthermore, this reduces complications and death rates, thus increasing life expectancy. Dickoff et al.'s six elements questions and Donabedian's SPO described above were categorized and classified with the characteristics and activities from the study findings to develop a conceptual framework that can facilitate and influence the improvement of NIMART training and implementation in the district health system, thus improving patient and HIV programme outcomes as represented in **Figure 1**.
