Table 3 Likert Scale scores for ‘Benefits of Integration’ statements in Rounds 1 and 2
| Â | Round 1 | Round 2 | ||||||
|---|---|---|---|---|---|---|---|---|
| Â | Score 1-3 | Score 4-6 | Score 7-9 | Â | 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) |