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Table 3 Summary of benefits and challenges of integration reported by providers

From: Experiences of health care providers with integrated HIV and reproductive health services in Kenya: a qualitative study

Benefits Challenges
Increased job satisfaction : Poor work conditions & support :
•Increased client satisfaction •Low salaries
•Personal skills enhanced •Lack of psychosocial support for occupational stress management
•Experiential learning  
•Professional stimulation  
Improved communication, performance & systems : Lack of systems adaptation to support integration :
•Improved communication among staff •Increase in workload per provider
•Increase in client repeat visits •Burdensome clinical recording
•Increase in service uptake •Long session times
•No more multiple queues per visit for the client •Long waiting times for clients
  •Lack of clinical supplies, equipment, room-space, and erratic water & electricity supply
  •Lack of guidelines on user-fee management
•Increase in willingness to take HIV test among clients  
Convenience: reduced room-to-room movement by staff during service provision  
•Decrease in numbers of clients who leave before being attended during a visit  
•Reduced pressure on under-staffed facilities  
•Reduced workload per provider