Sub-study | Participants | Data collection |
---|---|---|
1. Time-and-motion | 18 LHWs; 50% of the LHWs across the three sites including the four team leaders (Site 3 had two team leaders) | • The team leaders were observed whilst working in the clinic (26 hours) • The LHWs were accompanied on their treatment and adherence support visits (33 hours) |
2. Client survey | 226 clients (19% living with TB; 51% with HIV/AIDS; and 30% co-infected with TB and HIV) across the three study sites, as follows: • Site 1 = 31% (Female = 49%) • Site 2 = 31% (Female = 63%) • Site 3 = 38% (Female = 68%) All respondents were over 18 years of age | The questionnaire comprised clients’ assessment of: (i) LHW-visits (ii) TB and/or HIV counseling at the clinic (iii) Routine TB and/or HIV services at the clinic (iv) TB clients’ treatment location preference (v) Clients’ general knowledge of TB and HIV/AIDS |
3. Structured observations | Four LHWs (all female) and seven clients | Five visits; two were with couples The observation times ranged between 30 to 60Â minutes |
4. Interviews | Two team leaders (both female); four LHWs (all female); two NGO managers (both female); two health facility staff (one male, one female); three health authority managers (all female) | Apart from the team leaders and LHWs, separate interview-schedules were drafted for each participant, given their different roles in the programme |
5. Client diary keeping | Participant 1: Female, ± 40 years old, living with HIV/AIDS, audio-and visual diaries Participant 2: Male, 30 years old, on TB/HIV treatment, audio and visual diaries Participant 3: Female, between 30 and 36 years old, on TB/HIV treatment, audio-diary Participant 4: Male, 31 years old, living with HIV/AIDS, visual diary Participant 5: Male, 39 years old, living with HIV/AIDS, audio and visual diaries | The duration of participation ranged from four to nine months |