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Table 3 Likert Scale scores for ‘Benefits of Integration’ statements in Rounds 1 and 2

From: Integrating diabetes, hypertension and HIV care in sub-Saharan Africa: a Delphi consensus study on international best practice

  Round 1 Round 2
  Score 1-3 Score 4-6 Score 7-9   Score 1-3 Score 4-6 Score 7-9
Outcomes n n (%) n (%) n (%) n n (%) n (%) n (%)
Integrated services can enhance detection of HIV and its risk factors 16 3 (18) 5 (32) 8 (50) 9 2 (22) 3 (33) 4 (45)
Integrated services enhance detection of NCDs and their risk factors 16 2 (12) 2 (12) 12 (76) 9 1 (11) 1 (11) 7 (78)
Multi-morbidities (HIV, hypertension and/or diabetes) can be managed together at the same time and place by the same health care team of clinicians and nurses 16 0 (0) 2 (12) 14 (88) 9 0 (0) 1 (11) 8 (89)
Integrated services can be scaled-up within pre-existing structures 16 1 (6) 2 (12) 13 (82) 9 0 (0) 2 (22) 7 (78)
Integrated care will improve clinical outcomes for patients with multi-morbidities of HIV, hypertension and/or diabetes 16 0 (0) 1 (6) 15 (94) 9 0 (0) 1 (11) 8 (89)
An integrated clinic will provide better continuity of care for patients with multi-morbidities (HIV, diabetes and hypertension) 16 0 (0) 0 (0) 16 (100) 9 0 (0) 0 (0) 9 (100)
Integrated care for diabetes, hypertension and HIV can occur within the HIV care programme 16 1 (6) 3 (18) 12 (76) 9 0 (0) 3 (33) 6 (66)
Integrated care for HIV diabetes and hypertension can be delivered in the community 16 2 (12) 0 (0) 14 (88) 9 1 (11) 0 (0) 8 (89)
Integrated services may weaken the current HIV programme 16 9 (57) 4 (25) 3 (18) 9 8 (89) 0 (0) 1 (11)
Patients are likely to receive better quality of health education within the integrated clinic as within current vertical care clinics 16 0 (0) 5 (32) 11 (68) 9 0 4 (45) 5 (55)
Patients are likely to spend less time waiting in an integrated clinic 16 1 (6) 7 (44) 8 (50) 9 0 (0) 5 (55) 4 (45)
Patients with a chronic disease are more likely to be retained in an integrated care clinic 16 0 (0) 2 (22) 14 (78) 9 0 (0) 1 (11) 8 (89)
aAcceptability of integration of diabetes and hypertension with HIV may not be acceptable to all patients 0 NA NA NA 9 3 (33) 1 (11) 5 (55)
aThe success of integrated care depends on how well the stakeholders work together 0 NA NA NA 9 0 (0) 1 (11) 8 (89)
  1. aAdditional outcome suggested by a respondent in Round 1 and added for Round 2