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Table 2 Shift patients’ responsibilities between individual care and CAG ART delivery models

From: Adapting a community-based ART delivery model to the patients’ needs: a mixed methods research in Tete, Mozambique

Care aspects Individual ART delivery CAG-model
Information flow One way communication Open communication between HCW and patients
Motivation External, having to comply to instructions Internal, patients gain better understanding of treatment and importance of adherence
Training and education Disease oriented knowledge transfer Transfer of problem-solving skills to cope with their chronic condition through sharing of day-to-day experiences
Relation between HCW and patients HCW considered as superior, difficult to approach Trust relationship, HCW and patients considered each other as friends/partners
Relation between peers Patients feel isolated Strong mutual peer support based on day-to-day experiences
Power shift Patients follow passively instructions of HCW Patients are actively involved in their health decision making
Solutions Offered by HCW Patients search for solutions themselves with the support of peers and HCW
Needs Identified by HCW Identified by patients
Responsible for treatment outcomes HCW Patients and HCW share responsibilities
Information dissemination Limited to the consultation Reaching the broader community