116 Chapter 5 Abstract Objective This study describes the availability of basic services, equipment, and commodities for integrated DM–TB services, best practices by healthcare workers, and opportunities for better integration of DM–TB care in Eswatini. Methods A qualitative design was used. Twenty-three healthcare workers participated in a survey and key informant interview. Results Most respondents indicated DM and TB care are integrated and patients access blood pressure and fasting/random blood glucose assessment. Few respondents indicated they provide visual assessment, hearing assessment, and HbA1c testing. Respondents experienced stockouts of urinalysis strips, antihypertensive drugs, insulin, glucometer strips, and DM drugs in the previous six months before the interview. Four main themes emerged from the qualitative interviews – quality and current standards of care, best practices, opportunities, and recommendations to improve integrated services delivery. Conclusion While DM care is provided for TB patients, the implementation of integrated DM–TB services is suboptimal as the quality and current standards of care vary across health facilities due to different patient-level and health system challenges. Some identified opportunities must be utilized for a successful DM–TB integration. Keywords Diabetes mellitus; tuberculosis; non-communicable diseases; services integration; primary healthcare
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