Implementing at-birth, point-of-care HIV testing in Kenya: a qualitative study using the Consolidated Framework for Implementation Research

Table 3 Observed barriers and adaptations to mitigate

Barrier	Adaptation/resolution
Space and human resource constraints	Re-locating POC machines based on hospital layout and availability of providers
Machine breakdown, errors	Enhanced training: this eased as providers gained more experience with the machine
Sample collection	Shifting sample collection to lab technicians. This eased as providers gained more experience
Assignment of infant IDs at 6 weeks	Modified hospital protocols to assign infant IDs at birth or first presentation
Patient difficulties traveling to hospital after delivery (fare, mother health, religious beliefs)	Unmodifiable^a
Stigma, disclosure challenges	Conducting at-birth tests in the early morning, prior to visiting hours
Processing time for results	Prioritizing POC patients in queue to reduce their time at the hospital
Missed opportunities among home births	Enhanced counseling during the antenatal period

ISSN: 2662-2211