TABLE 2.
Urban Setting |
Rural Setting |
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---|---|---|---|---|---|---|---|---|---|---|
Region 1 |
Region 2 |
Region 3 |
Region 4 |
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Site 1 | Site 2 | Site 3 | Site 4 | Site 5 | Site 6 | Site 7 | Site 8 | |||
N = 10* | N = 8* | N= 8* | N = 8* | N = 8* | N = 7* | N = 8* | N = 7 | |||
Global Theme | Organizing Theme | Basic Theme | n (%) | n (%) | n (%) | n (%) | n (%) | n (%) | n (%) | n (%) |
Health sector-centric topics associated with delivering the integrated services | Provider-patient interactions | Mother's trust in providers is high | 10 (100) | 8 (100) | 6 (75) | 7 (88) | 7 (88) | 7 (100) | 8 (100) | 7 (100) |
Providers are perceived to keep HIV test results confidential | 10 (100) | 8 (100) | 5 (63) | 7 (88) | 7 (88) | 7 (100) | 8 (100) | 6 (86) | ||
Providers are not perceived to keep HIV test results confidential | 0 (0) | 0 (0) | 1 (13) | 0 (0) | 2 (25) | 0 (0) | 2 (25) | 0 (0) | ||
Efficiency of integrated delivery | Save resources with less trips to health facility | 1 (10) | 3 (38) | 3 (38) | 0 (0) | 4 (50) | 7 (57) | 5 (63) | 4 (57) | |
Long wait times and issues with patients moving efficiently from service to service | 2 (20) | 4 (50) | 1 (13) | 2 (25) | 2 (25) | 1 (14) | 1 (13) | 1 (14) | ||
Insufficient number of workers for number of services needed to conduct | 1 (10) | 1 (13) | 1 (13) | 4 (50) | 4 (50) | 1 (14) | 1 (13) | 0 (0) | ||
HIV and immunization services should be conducted on separate days to save time | 0 (0) | 1 (13) | 1 (13) | 2 (25) | 0 (0) | 1 (14) | 1 (13) | 0 (0) | ||
Confidentiality of services received due to facility layout | Health facility layout and workload compromise confidentiality of services received | 0 (0) | 0 (0) | 1 (13) | 1 (13) | 4 (50) | 3 (43) | 1 (13) | 0 (0) | |
Individual-level experiences accepting the integrated services | HIV testing perceptions | Mother knows other mothers who fear HIV testing | 4 (40) | 4 (50) | 4 (50) | 2 (25) | 4 (50) | 5 (71) | 5 (63) | 5 (71) |
Belief that other mothers who fear HIV testing might not bring infants for vaccination | 2 (20) | 2 (25) | 3 (38) | 0 (0) | 1 (13) | 2 (29) | 2 (25) | 5 (71) | ||
HIV testing is perceived as mandatory for child to be immunized | 4 (40) | 0 (0) | 0 (0) | 0 (0) | 1 (13) | 1 (14) | 1 (13) | 2 (29) | ||
Awareness of own health and service benefits | Can learn about own HIV status and infant's HIV status | 3 (30) | 5 (63) | 3 (38) | 4 (50) | 3 (38) | 4 (57) | 1 (13) | 4 (57) | |
Can now receive HIV treatment if necessary | 2 (20) | 4 (50) | 3 (38) | 6 (75) | 1 (13) | 2 (29) | 4 (50) | 4 (57) | ||
Community-level topics affecting acceptance of the integrated services | Community stigma | Community-based stigma is a perceived major cause of fear of HIV testing | 1 (10) | 0 (0) | 3 (38) | 0 (0) | 3 (38) | 4 (57) | 3 (38) | 4 (57) |
Mother knows peers concerned with being recognized while receiving HIV services | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 3 (43) | 1 (13) | 0 (0) | ||
Mother is less visible to others when receiving HIV services during routine immunization service | 0 (0) | 0 (0) | 1 (13) | 0 (0) | 2 (25) | 0 (0) | 2 (25) | 0 (0) | ||
Family stigma | Husband disapproves of HIV testing | 0 (0) | 0 (0) | 2 (25) | 0 (0) | 1 (13) | 0 (0) | 1 (13) | 0 (0) |
Number of mothers interviewed at the selected site.