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Table 5 Participant views on benefits and challenges of the ASM

From: Implementing six multi-month dispensing of antiretroviral therapy in Ethiopia: perspectives of clients and healthcare workers

Theme

Participant Types

  

FGDs

IDIs

  

Enrolled Participants (n = 6)

n (%)

Non-enrolled Participants (n = 6)

n (%)

ART Providers (n = 7)

n (%)

Case Managers (n = 8)

n (%)

Pharmacy Personnel (n = 7)

n (%)

ASM Benefits

Cost and time savings

5 (83)

5 (83)

4 (57)

5 (63)

5 (71)

Fewer work disruption

3 (50)

2 (33)

1 (14)

1 (13)

1 (14)

Privacy and reduced stigma

4 (67)

2 (33)

2 (29)

3 (38)

1 (14)

Better adherence and improved health

4 (67)

0 (0)

2 (29)

3 (38)

1 (14)

Improved quality of care

5 (83)

0 (0)

6 (86)

7 (86)

3 (43)

Reduced provider workloads

2 (33)

1 (17)

5 (71)

7 (86)

6 (86)

Decongested facilities

5 (83)

0 (0)

1 (14)

3 (38)

4 (57)

Improved record keeping

1 (17)

0 (0)

6 (86)

2 (25)

2 (29)

ASM Challenges

Medication storage

3 (50)

6 (100)

3 (43)

6 (86)

4 (57)

Less frequent monitoring by providers

2 (33)

4 (67)

2 (29)

1 (13)

1 (14)

Increased stress for clients

0 (0)

5 (83)

0 (0)

0 (0)

0 (0)

Misunderstanding ASM/Mistrust

1 (17)

3 (50)

0 (0)

0 (0)

0 (0)

Medication shortage

0 (0)

0 (0)

2 (29)

6 (86)

4 (57)