Table 1. Categorization of challenges faced by outreach workers, with levels and examples.
Category of challenge |
Level | Examples |
---|---|---|
Personal | ||
ORW at individual level | Inability to convince HIV-infected women to return to PMTCT service. |
|
Patient at individual level | No initiation of ART, or non-adherence to ART, due to non-disclosure of HIV status to spouse or family |
|
Social | ||
ORW or patients at community level | Stigma and discrimination by community members |
|
Structural | ||
Program or clinic level, challenges that may hinder a patient’s uptake of services |
Lack of supplies, inappropriate behavior of hospital staff |