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Table 1 Identified themes organised by category, and expert that contributed information to each theme

From: Reasons for implementation success despite health system constraints: qualitative insights on ‘what worked’ for cotrimoxazole preventive therapy

Themes, ordered by category

Experts’ hierarchical level and area of responsibility

Central level (MoH/CMAM)

Provincial level (PDH)

District level (DDH)

HIV

TB

Pharmaceuticals

HIV

TB

Pharmaceuticals

HIV

TB

Pharmaceuticals

Governance contributions

 Importance of policy, protocol and guideline

X

X

X

 

X

 

X

  

 Collaborative elaboration of documents and implementation strategies

X

X

X

  

X

   

 Continuous improvement

X

X

X

X

     

Pharmaceutical strategies

 Prioritisation of cotrimoxazole

X

 

X

  

X

   

 Training on logistics, pharmaceutical management & operating procedures

 

X

   

X

   

 Providing CTZ through two distinct distribution channels: ‘kit system’ & ‘standard path delivery’

 

X

X

 

X

X

  

X

 Local production of cotrimoxazole

  

X

  

X

  

X

 District level strategies

  

X

  

X

X

X

X

Service delivery improvements

 Patient-centered care

   

X

X

X

X

X

X

 Integration of care

X

X

  

X

 

X

X

X

 Differentiated care

   

X

X

 

X

 

X

 Drug delivery strategies

   

X

X

X

X

X

X

Health care providers' factors

 Stock of health professionals

   

X

     

 Training & health providers' acceptability to prescribe CPT

X

X

    

X

X

 

Patients' perspective

 Patients’ strong preference for cotrimoxazole

X

  

X

  

X

X

 
  1. Abbreviations: MoH Ministry of health, CMAM Central institution for Medicines and Medical Supply, PDH Provincial Department of Health, DDH District Department of Health