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. 2020 Oct 7;10(10):e039237. doi: 10.1136/bmjopen-2020-039237

Table 2.

Logic model of programme inputs, processes and outcomes

Intervention inputs Changes in care processes Outcomes
Negotiation with national, district and local government health departments, NGOs and funders Agreement about and support for service model, including reorganisation of clinics and staff
Commitment to ensure drug supply
  • Reorganisation of clinics and staff to implement the model

  • An effective, quality and sustainable funded drug supply chain

Negotiating lower drug prices
Supporting and monitoring drug ordering in each clinic
Providing buffer drug supplies to each clinic
Drugs always in stock
  • Increased diagnosis of comorbid conditions

  • Increased retention and adherence

  • Increased viral suppression, better control of blood pressure and blood glucose

  • Less AIDS, cardiovascular disease and diabetes complications

  • Lower patients costs (travel and absence from work)

  • Less health service duplication and costs (health service costs might increase if more patients are diagnosed and are more adherent)

  • Increase patient satisfaction

  • Increased clinician satisfaction; less burn-out and absenteeism

  • Reduce missed opportunities for improving care and health outcomes

Engagement with and support for clinicians and managers in each clinic Clinicians and managers enable and support integration and find solutions to emerging problems
Provision of integrated service in each clinic (alongside and additional to existing services) Trial participants attend integrated service
Avoid multiple visits for patients with multimorbidity
Training clinicians about integrated clinical management Better diagnosis and treatment including attention to comorbid conditions
Community engagement Identify and enlist community organisations and resources to help with health education, tracing defaulters or patients who have difficulty attending clinic
Providing standardised stationery for integrated medical records; training clinicians to use it Increased awareness by clinicians and patients about disease severity, comorbidity, adherence and control in individual patients
Improving monitoring and evaluation based on clinics registers and medical records Regular data analysis and feedback to staff Quality assurance and continuous improvement in the quality of care
Identifying effective health education Improve health education at clinics Healthier lifestyles
Increased adherence

NGO, non-governmental organisation.