Table 2 Sub-themes of pregnant women and healthcare workers reflections on integrated point-of-care testing’s 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 |