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Table 3 Key actors and their views on task shifting of HIV/AIDS case management services to CHSCs

From: Task shifting of HIV/AIDS case management to Community Health Service Centers in urban China: a qualitative policy analysis

Actors Roles in the task shifting Positive Views Negative Views
Officials and health professionals from BH and CDCs Planning, organizing, supporting and evaluating the implementation of HIV/AIDS case management. • It can improve the quality of services and effectiveness of case management. • Lack of specific policy and financial support.
• It is more geographically convenient and time-saving. • Low capacity of health service provision for PLWHA in CHSCs.
• Concerns about loss to follow-up in the referral process from CDCs to CHSCs.
Administrators and health care providers in CHSCs Providing the HIV/AIDS case management services for PLWHA. • Case management in CHSCs have better accessibility and integrated capacity of health care provision. • Lack of specific funding and manpower.
• Health care providers in CHSCs were less experienced and unstable in their position.
• Health care providers in CHSCs have limited knowledge and skills in HIV/AIDS case management.
• Lack of coordination and support among government sectors, hospitals, CDCs and CHSCs.
• Discrimination against PLWHA by health care providers in CHSCS.
Managers and volunteers from CBOs Assisting in counseling and referral of HIV/AIDS case management services. • CBOs have good relationships with PLWHA and flexibility in working hours. • Inadequate financial and policy support by governments.
• CBOs can provide comprehensive counseling for PLWHA.
PLWHA Utilization of HIV/AIDS case management services. • It is more convenient and accessible to utilization related health services in CHSCs. • Fear for discrimination and lack of confidentiality when receiving health care services in local communities.
•Fear for running into acquaintance in CHSCs.