| Acceptability | ||
 | Theme | Patients | Clinicians/Administrators |
Peer Support | Improved Patient Experience | Peer navigators may address inefficiencies and delays during referrals | Peer navigators will help patients navigate unfamiliar health facilities |
Stigma | Peer navigators may reduce perceived bias and judgement by clinic staff through accompanying patients and orienting them to the new health facility | Patients may feel uncomfortable disclosing personal health information to other community members (Peer navigators, who are not seen as health professionals) | |
Integrating Peer Navigators into local clinics | Due to regional differences in culture and language, patients referred to a different facility (in a different community) may not feel comfortable or trust their receiving peer | Nurses and administrators currently help facilitate referrals, and there may be conflict when peers come in to assume this role | |
HIT Package | Information Sharing Between Facilities | Referral information (including clinical data) can be available to clinicians at facilities across the health system | Electronic forms must be streamlined and user-friendly, as clinicians have encountered inefficient forms in the past |
HIT Reliability | (No patients commented on HIT reliability) | The intervention would need a backup so that data is not lost and the core functionality of referral navigation may proceed in the event of power or network outage | |
 | Appropriateness | ||
 | Theme | Patients | Clinicians/Administrators |
Peer Support | Capacity of Peer-based Education | Peer navigators may provide patient education on hypertension on multiple occasions during referral process | Patients with hypertension may be inappropriate peer support providers as they may be older, harder to retain, and less familiar with technology; in addition, these patients lack formal health training necessary to provide peer support (participants advocated for use of Community Health Volunteers |
Prohibitive Costs | Without transport or funds, referral barriers may still be insurmountable for patients | Patients may not complete referrals without providing transport, incentives, and/or peer accompaniment | |
Peer Navigator Accessibility | Peer navigators may be inaccessible or unreachable when needed by patients | Concerns that peer navigators may be difficult for patients to locate at busy facilities like MTRH | |
Peer-Clinician Information Sharing | (No patient comments on appropriateness of Peer-Clinician Interactions) | Peer navigators will effectively relay clinical information between clinicians at different facilities during referrals | |
HIT Package | Centralized Data Storage | (No patient comments on appropriateness of HIT tools) | Referral data is stored centrally and can be accessed via tablet by referring or receiving clinicians |
Integration Barriers with Existing Record System | Clinical information must be accessible no matter what health record system is used, meaning that the intervention must integrate all existing systems |