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. 2025 Feb 6;25:213. doi: 10.1186/s12913-025-12367-8

Table 2.

Coding framework

Domain/construct Major themes Subthemes
Nature of the problem Experiences of HIV and TB patients

• Increased workload for health workers

• Side effects and burden of HIV and TB drugs

• High failure rates of adherence to TB/HIV drugs

HIV/TB Interventions

Relative advantage of intergration

Compatibility of services integration

• Benefits of integrating HIV/TB services

• Compatibility with one’s job

Adoption System Role of stakeholders in services integration

• Role of volunteers and NGOs

• supportive hospital management and leadership

• Poor attitude of health care workers

Health Systems Characteristics

Support and coordination among stakeholders

Availability of supplies and resources

• Strong relationship among stakeholders (i.e., volunteers, NGOs and health workers)

• Availability of medical technologies

• Provision of incentives (trainings, capacity building)

• Availability of monitoring and evaluation of services

• Availability of demand generating activities (i.e., campaign awareness)

• Structural challenges

• Lack of financial support

• Shortage of commodities and supplies

• Shortage of health care workers affecting staff motivation

Broad Contextual Factors Impact of broad context issues, i.e., political will, pandemics and natural disasters

• Availability of political will

• Impact of religious, sociocultural and economic factors

• Effects of pandemics such as covid-19 and natural disasters like cyclone Freddy