Table 2.
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 |
|
Negotiating lower drug prices Supporting and monitoring drug ordering in each clinic Providing buffer drug supplies to each clinic |
Drugs always in stock |
|
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.