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Table 2 Sub-themes of pregnant women and healthcare workers reflections on integrated point-of-care testing’s appropriateness, acceptability and feasibility

From: Integrated point-of-care testing (POCT) for HIV, syphilis, malaria and anaemia at antenatal facilities in western Kenya: a qualitative study exploring end-users’ perspectives of appropriateness, acceptability and feasibility

  Service delivery at dispensaries Community context of cultures and concerns Wider health system: policy, programme and management
Appropriateness Healthcare workers’ professional motivations
Services pregnant women want at ANC
Time and costs of reaching facilities National guideline requirements
Acceptability Healthcare workers:
Complexity of POCTs
Proficiency of testing
Observabilitya of test results
Trialabilityb of POCTs
Workload
Attitude towards gaining knowledge and new skills
Pregnant women:
Trust and confidence in results
Community stigma, gender violence and partner involvement County level decision makers would need to value and prioritize integrated antenatal testing and allocate funds to ensure its continuity
Feasibility Motivation of healthcare workers
Drugs and commodities for services
Training and quality assurance of healthcare worker performance
Pregnant women’s degree of comfort in asking for services
Community culture and attitudes that influence timing of first ANC visit Procurement and funding systems for commodities and drugs
Sufficiency of human resources to meet demand
Working conditions
Quality and synergy of training
  1. POCTs point-of-care tests
  2. aObservability: the degree to which the results of an innovation are visible [61]
  3. bTrialability: the degree to which an innovation can be experimented with on a limited basis so as personal meaning can be ascribed [61]