Table 2.

Areas of change in integrated clinics

Area of change	Pre integration	Post integration
Human resources	Health care workers on separate ART and OPD staff rosters	Single duty-roster for all health care workers in OPD/ART
Care pathway	Separate care pathway for ART and OPD patients	Single, harmonized care pathway for all patients
Triage / vitals	Only provided to ART patients	Provided to all patients irrespective of HIV-status
Medical records	OPD and ART have different patient IDs, patient cards and medical files	Medical files harmonized and patients issued single ID number
Medical forms	Pro-forma medical forms for ART patients only	Pro-forma medical forms introduced for OPD clients
HIV counselling & testing (C&T)	Voluntary C&T provided in stand-alone room	Routine, in-house C&T for all patients without HIV test result
Infrastructure	OPD and ART operations in physically separate locations	OPD and ART housed in same location and serve all patients
HIV education	Only provided to ART patients	Provided to all patients irrespective of HIV status
Management	Separate OPD and ART Nurse Managers	Joint OPD/ART manager appointed with deputy

Notes: ART = antiretroviral therapy; OPD = outpatient department.