Table 3 Key actors and their views on task shifting of HIV/AIDS case management services to CHSCs

Officials and health professionals from BH and CDCs

Planning, organizing, supporting and evaluating the implementation of HIV/AIDS case management.

• It can improve the quality of services and effectiveness of case management.

• Lack of specific policy and financial support.

• It is more geographically convenient and time-saving.

• Low capacity of health service provision for PLWHA in CHSCs.

• Concerns about loss to follow-up in the referral process from CDCs to CHSCs.

Administrators and health care providers in CHSCs

Providing the HIV/AIDS case management services for PLWHA.

• Case management in CHSCs have better accessibility and integrated capacity of health care provision.

• Lack of specific funding and manpower.

• Health care providers in CHSCs were less experienced and unstable in their position.

• Health care providers in CHSCs have limited knowledge and skills in HIV/AIDS case management.

• Lack of coordination and support among government sectors, hospitals, CDCs and CHSCs.

• Discrimination against PLWHA by health care providers in CHSCS.

Managers and volunteers from CBOs

Assisting in counseling and referral of HIV/AIDS case management services.

• CBOs have good relationships with PLWHA and flexibility in working hours.

• Inadequate financial and policy support by governments.

• CBOs can provide comprehensive counseling for PLWHA.

PLWHA

Utilization of HIV/AIDS case management services.

• It is more convenient and accessible to utilization related health services in CHSCs.

• Fear for discrimination and lack of confidentiality when receiving health care services in local communities.

•Fear for running into acquaintance in CHSCs.