AIDS Research and Treatment / 2013 / Article / Tab 1

Research Article

Integration of HIV Care with Primary Health Care Services: Effect on Patient Satisfaction and Stigma in Rural Kenya

Table 1

Comparison of features of health facilities in an evaluation of HIV service integration in Suba District, Kenya.

Patient support center (HIV clinic) before integrationOut-patient department (OPD) before integrationIntegrated facility

Clinic spaceSeparate room for HIV clinical careSeparate room for primary care services other than HIVAll clinical rooms used for both HIV and other primary care services

Clinical staffOne clinician (clinical officer or nurse) dedicated to providing HIV careOther clinicians attending to patients seeking primary care exclusive of HIVAll clinicians attend to all patients regardless of HIV status

Health education at waiting bayGeneral health education with emphasis on HIV care, treatment, and nutritionGeneral health education with equal emphasis on all topics. Messages about HIV mostly relate to preventionGeneral health education on all health topics including HIV prevention, care, and treatment

Pharmacy/SuppliesStaff extensively trained and mentored on commodity management and supply chain logistics especially relating to ARTLittle or no training on commodity management. No mentorship.
Poor supply chain hence frequent drug stock-outs
Intensive on-job training and mentorship on commodity management.
Streamlined supply chain; less frequent drug stock-outs

LaboratoryLab samples sent to well-stocked central lab at district hospital. Tests available for HIV-positive patients include CD4, CBC, hematology, microscopy, biochemistry, and immunology. More reliable supply of reagents; specimen transport network for remote sitesLabs poorly equipped. Tests available: Hb, pregnancy, and simple microscopy. Frequent stock out of reagentsSamples that cannot be processed locally sent to central lab at district hospital. Specimen transport network used for all specimens. Training and mentorship offered to all staff.

Focused HIV training and mentorshipClinician well trained in HIV care (adult and pediatric ART, PMTCT); weekly mentorship by more experienced cliniciansSome staff trained but not actively practicing; no clinical mentorshipAll staff trained in at least one HIV care course. Weekly mentorship and on-job training for all staff

Article of the Year Award: Outstanding research contributions of 2020, as selected by our Chief Editors. Read the winning articles.