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Table 2 Barriers to and facilitators for integrated COVID-19 and TB screening at Kiruddu National Referral Hospital mapped to the COM-B model

From: Integration of COVID-19 and TB screening in Kampala, Uganda: healthcare provider perspectives

COM-B constructs

Barriers

Facilitators

Psychological capability

Healthcare providers lacked adequate knowledge on how to integrate screening for COVID-19 and TB

 

Physical capability

  

Physical opportunity

Lack of simple standard operating procedures for integrated screening of COVID-19 and TB

 

Inconsistent supply of personal protective equipment (PPE)

Understaffing at the outpatient and emergency departments

Lack of data collection tools and databases for integrated screening of COVID-19 and TB

Social opportunity

 

TB focal persons are available to support healthcare providers to provide integrated screening for COVID-19 and TB

Reflective motivation

Healthcare providers fear contracting COVID-19 infection during integrated screening

Already existing training forums at the health facility could be utilized to strengthen the capacity of HCP to integrate COVID-19 and TB screening

Automatic motivation

Lack of risk allowance for healthcare providers to conduct integrated screening of COVID-19 and TB

 
  1. Abbreviations: HCP healthcare provider, TB tuberculosis, PPE personal protective equipment