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Table 3 Illustration of the process of aggregating themes and developing common categories

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

Primary and secondary themes from the individual studies Common categories identified and further developed through reciprocal translation
Study 1 Category Sub-category
At one clinic patients accessing HIV treatment were sent to one nurse who had access to computer based records for HIV care Health systems influence on service integration Administration requirements with medical records, files, registers and monthly reporting specific to different programmes influences service integration
A clinic that initially integrated ART care into the work of all nurses experienced problems with recording of TB statistics and had to revert to more vertical delivery of care so that one nurse could concentrate on care of TB patients and collection of TB statistics   
Study 2   
Multiple registers for each programme require huge amounts of paperwork, which is one of the reasons why it is easier to have vertical programmes so each nurse has a specialty and the register to fill in for that specific condition.   
Because of the lack of resources, vertical approach simplifies and streamlines the large patient load (especially administration).   
Study 3   
Administrative demands on nurses to report on care provided and computer systems that require specific training and skills can support the separation of care.