PRINCIPLE | |
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Prolonged engagement | Multiple on-site visits were made to the case-study facilities across three weeks. Informal discussions were held with ART clinic managers, clinicians and pharmacists coupled with face-to-face interviews with multiple informants. |
Use of theory | This study is derived from a larger mixed-methods study which is informed by the health systems dynamics frameworks by van Olmen et al. (2012) [33] which builds on the WHO’s building blocks of the health system framework (2007). |
Case selection | Sixteen health facilities were purposefully selected from a nationally-representative sample of 195 health facilities across Uganda which participated in Uganda’s national emergency ART roll-out. |
Sampling | We aimed for a sample that had appropriate representation of health facility demographics in Uganda with respect to a) setting (rural/urban), b) ownership-type (public, for-profit, not-for-profit)c) Level of care(tertiary, secondary, primary). |
Multiple methods | Multiple methods were used including face-to-face interviews, document review and informal engagements with clinicians and the head of the HIV Clinic. |
Triangulation | Case descriptions were constructed based on triangulation across multiple data sources (Questionnaire data, interviewee data and document review). |
Peer debriefing and support | Data analysis involved a team-based process involving at least three authors at each of the stages. |
Respondent validation | A data validation workshop was conducted with involving the head of the HIV clinic in 14 of the Participating health facilities. |