Table 1 Methods used and details of data collection and analysis in each country
Angola | Burundi | Lesotho | Mozambique | SA | |
|---|---|---|---|---|---|
Ethics approval | National and provincial health authorities | National ethics committee | Ethics committee of the Ministry of Health and Social Welfare | National bioethics committee | National, provincial and municipal government research committees, UWC ethics committee |
Period of data collection | 2009 April-June | 2009 February- June | 2008 July- 2009 February | 2007 March- September; 2008 | 2008 September -2010 October |
2010 May | 2011 March- June | 2010 February-May | |||
2011 June-September | |||||
Language of data collection | Portuguese | French / Kirundi | English | Portuguese and English | English, Xhosa, Afrikaans, Zulu |
Number and type of interviews | National level: Ministry of Health (minister, advisors from the Ministry of Health / PAV-MINSA “immunization program”), and offices of selected Implementing Partners (UNICEF, ONUSIDA, EU, WHO) and NGOs 11 in 2009 1 in 2010 | National level: MoH officials (senior managers, HRH/ planning/ programs managers), National AIDS Council secretariat, NGOs representatives, GHIs representatives 27 in 2009 26 in 2011 | National level : in-depth key informant interviews with 22 representatives of the government, bilateral and multilateral development agencies and other stakeholders at the national level | National level: 21 in 2008; Ministry of Health (MoH) officials, offices of selected Implementing Partners (WHO, UNAIDS, UNICEF, Irish Aid, PMI/CDC, World Bank, USAID, CDC, DFID) and NGOs (MONASO-network of national NGOs working on AIDS, Malaria Consortium, Health Alliance International | National level: MoH officials, SANAC, international NGO coordinators, international health agencies coordinators 19 in 2008–2009 18 in 2010 |
Sub-national level: provincial government officers, NGOs, district managers, facility managers 30 in 2011 | Sub-national level: provincial government officers, provincial AIDS committee, NGOs, district managers, facility managers and employees 35 in 2009 45 in 2011 | Sub-national level: around 60 with provincial and district health directorates, HR managers, NGO managers, individuals in charge of health facilities and services responsible in 2010 | Sub-national levels: Provincial and municipal governments, sub-provincial management levels (general manager, HR manager, finance manager) N = 105 from 2009 to 2010 | ||
Facility and NGO level: NGO representative, health workers, facility manager N = 144 | |||||
Type of documents analyzed | National health policy, national programs of Malaria, Tuberculosis and Maternal Health and national and international reports; Published literature and unpublished documents provided by key informants of MINSA, national and international NGOs, Provincial Health Department and Municipal Hospitals. | Policy and planning documents from programs and HRH unit, national health plan, proposals for GHIs | Review of Lesotho’s Round 5 Grant Score Cards Grant Performance reports and policy and planning documents from programs and HRH unit, national plan : 10-15 | Policy and planning documents from National programs and HR National Directorate, national health plan, grey documents | Policy and planning documents from national department of health, grey documents, proposals for GHIs, draft policies |
Quantitative sampling method (sub-national level | NA | 3 provinces (2 rural and one urban, in each of which 3 or 4 facilities (NGO, private and public) were selected (14 in 2009 and 12 in 2011) | NA | NA | 3 provinces, minimum of 2 districts in each, minimum of two facilities in each district at lowest level providing ART initiation. Rural/urban sampling where possible at each level |
Type of quantitative data | HRH national report and national HIV program report for ART patients figures | Survey at facility level (N = 105 in 2009, N = 78 in 2011) to health workers (salary level, incentives, trainings, supervision) | NA | Surveys at facility level for HRH, infrastructures mapping, health information system, and pharmacy information; surveys for NGO mapping and district health services network | Health system trust database for HRH data; |
National ART report for ART patients number | |||||
Surveys at facility level for HRH number and trainings, surveys for NGO mapping and district health services network | |||||
HRH national review and national HIV program report for ART patients figures | |||||
Analysis method (software used) | Qualitative data: Thematic analysis - analyzed manually | Qualitative data: Framework analysis using Atlas.ti for | Qualitative data: Framework analysis using Atlas.ti | Qualitative data: Thematic analysis using Nvivo and content analysis | Qualitative data: Thematic analysis both manually and using Atlas.ti |
Quantitative data: analyzed using Stata (version 8) |