Bachelor of Social work and Social Development and Master of Public Health (MPH). Faulty of Health sciences, Uganda martyrs University.
Uganda Martyrs University, Faculty of Health Sciences.
Afr Health Sci. 2021 Mar;21(1):248-253. doi: 10.4314/ahs.v21i1.32.
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.
To establish the users and the provider's perspectives in overcoming the challenges of TB/HIV services integration at Mulago National Referral Hospital.
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.
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.
Opinions from both users and providers were similar. These ranged from increasing awareness to the users and healthcare providers about the integration of services.
撒哈拉以南非洲的结核病和人类免疫缺陷病毒（HIV）流行一直密切相关且持续存在，这给医疗保健服务带来了相当大的负担。这使得服务的利用变得复杂，服务的使用者和提供者都对整合这些服务提出了意见。
在穆拉戈国家转诊医院确定使用者和提供者在克服结核/艾滋病毒服务整合挑战方面的观点。
采用描述性的横断面设计，主要采用定性方法。定性方面采用了现象学设计。通过 FGD 和关键知情人随机选择参与者。观察检查表从患者那里收集定量数据，以衡量服务整合的程度。
结核/艾滋病毒服务的服务整合水平为 68%（低于可接受的 100%水平）。使用者的意见包括：增加提供结核/艾滋病毒服务的工作日数、加强宣传和健康教育，并整合其他服务，如生殖健康服务等。卫生保健提供者的意见包括：增加卫生工作者的培训、增加人员配备以及需要卫生部提供更多支持。
使用者和提供者的意见相似。这些意见包括提高使用者和医疗保健提供者对服务整合的认识。
