User provider perspectives to overcome the challenges of TB/HIV service integration at Mulago National Referral Hospital Kampala
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Date
2021-03-01
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
MAKERERE UNIV, FAC MED , PO BOX 7072, KAMPALA, UGANDA
Abstract
Abstract
Background: Tuberculosis and Human Immunodeficiency Virus epidemics in sub-Saharan Africa have been closely related
and persistent, proving a considerable burden for healthcare provision. This has complicated utilization of services, with
noted opinions on the integration of these services from both users and providers of the services.
Objectives: To establish the users and the provider’s perspectives in overcoming the challenges of TB/HIV services integration at Mulago National Referral Hospital.
Methods: Descriptive cross-sectional design, with predominantly qualitative methods was used. Qualitative aspect adopted
phenomenological design. Participants were randomly selected for FGDs and Key informants. An observation checklist
collected quantitative data from the patients to measure level of services integration.
Findings: Level of service integration of TB/HIV services was at 68% (below the acceptable 100% level). Opinions from
the users pointed to; increasing number of work-days for TB/HIV service provision, strengthening sensitisation and health
education and integrating other services like reproductive health services, among others. Health care providers opinions
pointed to increasing trainings for health workers, increasing staffing and need for more support from Ministry of Health.
Conclusion: Opinions from both users and providers were similar. These ranged from increasing awareness to the users and
healthcare providers about the integration of services.
Description
Keywords
User - provider perspectives, TB/HIV service integration, Mulago National Referral Hospital
Citation
Katende, J.N. and Omona, K., 2021. User-provider perspectives to overcome the challenges of TB/HIV service integration at Mulago National Referral Hospital _ Kampala. African Health Sciences, 21(1), pp.248-53.