Theme and key dimensions | Relevant Grounded theory construct and the operational definition | Relevant Grounded domain |
Theme 1: Ideal placing of the HTS screening tool within the health care facility Key dimensions Screening for HTS eligibility at facility entry, reception area, consultation room or HIV testing point Opinions on the best placing of a screening tool within the healthcare setup | Outcome expectations “Health workers identifying the ideal location of the screening process to achieve optimal client flow and utility of the tool” | Social or Environmental Factors |
Theme 2: Potential negative sequelae from utilising HIV screening tools by health workers Key dimensions Fear of the screening process increasing the workload for HIV testing Health workers are not clear about the screening in/out process due to a lack of orientation Concerns from providers that multiple tools are available and it’s not clear which tool to utilize Client flow is already reduced at health facilities hence no need to screen the few that come | Reciprocal determinism “Interactions between personal and social/environmental factors that positively or negatively influence utilization of HIV screening tools” | |
Theme 3: Potential deliberate misinformation by clients desiring an HIV test Key dimensions Fear of clients not responding honestly when asked screening questions because of their desire to be tested/not tested Confidentiality environment creation and assurance at the onset of engaging with the client Client attitudes towards being screened for eligibility before testing | Behavioural capability “Having and using acquired knowledge and skills to promote honesty in responding to screening questions to ensure that screening decision is based on true factors” | Professional and Personal factors |
Theme 4: Amount of time required to perform the screening process Key dimensions To correctly ascertain the amount of time required to conduct HIV screening Contrasting the amount of time required to conduct an HIV test against the amount of screening Determining screening duration time reduction when screening is routinely performed | Self-efficacy “Having a good understanding of the importance of screening for HIV testing and the minimum time it takes when routinely applied” | |
Theme 5: The effect that screening for HIV testing has on various health aspects; resources, workload, efficiency Key dimensions Reflect on how reducing testing volumes through eligibility screening discourages high frequent testing with no corresponding positivity yield Drawing from regular onsite data analysis how positivity yield is impacted by testing volumes | Observational learning “Reflecting on the role of eligibility screening for HIV testing in reducing testing volumes, reduce workload and promote efficiency in HIV testing” Reinforcements “Encouraging positive changes through interpersonal and structural support” | Environmental and professional factors |