Table 1
Structured synthesis of co-generated strategies into priority implementation domains.
| GROUP LEVEL ASSESSMENTS | DESIGN FOCUS GROUP DISCUSSIONS | |
|---|---|---|
| Initial co-generated strategies (n = 18) | Synthesized themes (n = 7) | Final priority domains (n = 4) |
| Strengthen patient follow-up registers and appointment logs | Strengthening follow-up systems | Community integrated follow-up |
| Phone call reminders before clinic dates | ||
| Provider-initiated tracing for missed visits | ||
| Engage VHTs, peer specialists, and local leaders for tracing | ||
| Involve family members in appointment reminders and support | Involving family members in care | |
| Structured counselling at diagnosis | Enhancing health education and counselling | Structured patient education and counselling |
| Ongoing education during clinic visits | ||
| Community-based RHD education and outreach | ||
| Use of visual and audio educational materials | ||
| Provide structured psychosocial support platforms | Providing psychosocial support | |
| Train providers in communication skills | Modifying provider’s behavior through training | Provider capacity and service delivery improvement |
| Incorporate communication modules into CME | ||
| Ensure correct injection technique to reduce pain | ||
| Improve clinic workflow to reduce wait times | Improving service organization | |
| Ensure adequate consultation time for patient interaction | ||
| Improve privacy during injection visits | ||
| Improve forecasting of benzathine penicillin G and lidocaine | Ensuring medicine and supply availability | Stock planning and medicine availability |
| Redistribute supplies across facilities to prevent stockouts | ||