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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