Table 1
Demographic characteristics of participants.
| CHARACTERISTICS | FREQUENCY (N) | PERCENT% | |
|---|---|---|---|
| Patients (n = 10) | AGE | ||
| 22–30 | 4 | 40 | |
| 30–40 | 3 | 30 | |
| 40–50 | 3 | 30 | |
| SEX | |||
| Female | 5 | 50 | |
| Male | 5 | 50 | |
| MARITAL STATUS | |||
| Single | 8 | 80 | |
| Married | 2 | 20 | |
| Healthcare workers (n = 5) | AGE | ||
| 28–40 | 3 | 60 | |
| 41–51 | 2 | 40 | |
| SEX | |||
| Male | 1 | 20 | |
| Female | 4 | 80 | |
| ROLE | |||
| Registered Nurse | 3 | 60 | |
| Medical Doctor | 1 | 20 | |
| Health Assistant | 1 | 20 | |
| Health Managers (n = 5) | AGE | ||
| 34–40 | 3 | 60 | |
| 41–42 | 2 | 40 | |
| SEX | |||
| Male | 2 | 40 | |
| Female | 3 | 60 | |
| ROLE | |||
| Clinical mentor | 2 | 40 | |
| Nurse Mentor | 3 | 60 | |
Table 2
Themes and subthemes emerged from patient and Healthcare worker perspectives on integration of mental health services into routine ART services in Windhoek, Namibia, 2022.
| Barriers integration | Individual level |
| • Lack of awareness of mental illness among PLHIV | |
| Health care system | |
| • Negative attitude of healthcare workers | |
| • Limited space at health facilities | |
| • Financial resources for staff/shortage of staff | |
| • Lack of training of HCW | |
| • Lack of social workers at health facilities | |
| • Lack of leadership support | |
| • Fragmented referral system | |
| • HCW stigma towards PLHIV with mental illness | |
| Stigma, fear and discrimination | |
| • Fear to discuss mental issues with HCW | |
| • Fear of discrimination and gossip due to being HIV positive | |
| Enablers integration | Health Care System |
| • Leadership support | |
| • Policies, guidelines and SOPs for integration | |
| • Training curriculum and training of healthcare workers | |
| • Monitoring, evaluation & reporting systems for mental health services | |
| • Availability of social workers or psychologists at health facilities | |
| • Integrated screening for mental illness into routine screening | |
| • Working hours of health facilities | |
| Community Level | |
| • Community sensitization and awareness creation among patients to minimize stigma | |
| • Support groups for mental health in the community | |
| • IEC materials in local languages |
[i] **HCW: Healthcare workers, SOPs: Standard Operating Procedures, PLHIV: People Living with HIV**.