Integrating HIV Care into Primary Care Services: Quantifying Progress of an Intervention in South Africa

摘要: Background Integration of human immunodeficiency virus (HIV) care into primary services is one strategy proposed to achieve universal access antiretroviral treatment (ART) for HIV-positive patients in high burden countries. There a need controlled studies programmes integrate HIV with details the being integrated. Methods A semi-quantitative questionnaire was developed consultation clinic staff, tested internal consistency using Cronbach's alpha coefficients and checked inter-observer reliability. It used conduct four assessments integration referring clinics (mainstreaming HIV) work all nurses within ART (internal integration) pre-ART during Streamlining Tasks Roles Expand Treatment Care (STRETCH) trial South Africa. Mean total component scores at intervention control were compared way analysis variance (ANOVA). Repeated measures ANOVA analyse changes trial. Results integration, mainstreaming showed good consistency. increased significantly by third assessment. almost maximal first assessment no further change. change mean score. Conclusion The this study valid tool potential monitoring other settings. STRETCH interventions resulted care, particularly providing clinics, but had effect on integrating clinic.