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Table 2 Summary of the methodology used in the three qualitative studies

From: Integrating HIV care into nurse-led primary health care services in South Africa: a synthesis of three linked qualitative studies

Study focus Study approach Data collection method relevant for this synthesis Detail of data collection
Study 1: STRETCH trial – trial of intervention to integrate HIV care into PHC and task shifting of initiation and prescription of ART to nurses Randomised controlled trial, with participant observation by trial manager (KU) Participant observation 170 visits of approximately two hours each to 31 clinics, conducted over four years while managing the trial; notes of visits kept in a diary
Study 2: STRETCH process evaluation – the evaluation explored all aspects of the intervention (training, managerial issues etc.) including issues of HIV care integration Mixed-method qualitative evaluation (led by DG with SL and CC) Focus group discussions 10 focus groups with nurses 6 focus groups with patients
In-depth and key Informant Interviews 26 interviews with facility managers, doctors, trial manager, local/district/provincial health managers and key stakeholders
Observation 7 observations of support workshops for nurse-trainers and trial manager support visits to clinics
Study 3: Qualitative study to understand the organisation of PHC, following the integration of HIV care and task shifting in PHC shifting. Mixed-methods study, based on ethnographic principles (AG, supervised by SL) Observation Observation in 4 clinics, including 2 STRETCH trial clinics, over a 15 month period. Emerging themes were explored in an additional 6 clinics, including 3 STRETCH trial clinics.
Interviews Interviews with 34 professional nurses, 6 other members of clinic staff and 21 patients