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Non-communicable diseases (NCDs) are the top cause of death worldwide. Integrated NCD-HTS could be a strategy to control both epidemics. Healthcare service strategies depends partially on positive user experience. We investigated client satisfaction of services and clinic flow time of an integrated NCD-HTS clinic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This prospective, cross-sectional study evaluated HTS client satisfaction with an HTS clinic at two phases. Phase 1 (February\u2013June 2018) utilised standard HTS services: counsellor-led height\/weight\/blood pressure measurements, HIV rapid testing, and symptoms screening for sexually transmitted infections\/Tuberculosis. Phase 2 (June 2018\u2013March 2019) further integrated counsellor-led obesity screening (body mass index\/abdominal\u00a0circumference measurements), rapid cholesterol\/glucose testing; and nurse-led Chlamydia and human papilloma virus (HPV)\/cervical cancer screening. Socio-demographics, proportion of repeat clients, clinic flow time, and client survey data (open\/closed-ended questions using five-point Likert scale) are reported. Fisher\u2019s exact test, chi-square analysis, and\u00a0Kruskal Wallis test conducted comparisons. Multiple linear regression determined predictors associated with clinic time. Content thematic analysis was conducted for free response data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Two hundred eighty-four and three hundred thirty-three participants were from Phase 1 and 2, respectively (\n                      <jats:italic>N<\/jats:italic>\n                      \u00a0=\u2009617). Phase 1 participants were significantly older (median age 36.5 (28.0\u201343.0) years vs. 31.0 (25.0\u201340.0) years;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u20090.0003), divorced\/widowed (6.7%, [\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u200919\/282] vs. 2.4%, [\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u20098\/332];\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u20090.0091); had tertiary education (27.9%, [\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u200979\/283] vs. 20.1%, [\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u200967\/333];\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u20090.0234); and less female (53.9%, [\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u2009153\/284] vs 67.6%, [\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u2009225\/333];\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u20090.0005), compared to Phase 2. Phase 2 had 10.2% repeat clients (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u200934\/333), and 97.9% (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u2009320\/327) were \u2018\n                      <jats:italic>very satisfied\u2019<\/jats:italic>\n                      with integrated NCD-HTS, despite standard HTS having significantly shorter median time for counsellor-led HTS (36.5, interquartile range [IQR]: 31.0\u201345.0 vs. 41.5, IQR: 35.0\u201351.0;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u20090.0001). Phase 2 associations with longer clinic time were clients living together\/married (est\u2009=\u20096.548;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u20090.0467), more tests conducted (est\u2009=\u20093.922;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u20090.0001), higher overall satisfaction score (est\u2009=\u20091.210;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u20090.0201). Those who matriculated experienced less clinic time (est\u2009=\u2009\u2212\u20097.250;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u20090.0253).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>It is possible to integrate counsellor-led NCD rapid testing into standard HTS within historical HTS timeframes, yielding client satisfaction. Rapid cholesterol\/glucose testing should be integrated into standard HTS. Research is required on the impact of cervical cancer\/HPV screenings to HTS clinic flow to determine if it could be scaled up within the public sector.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12913-020-05256-9","type":"journal-article","created":{"date-parts":[[2020,5,11]],"date-time":"2020-05-11T02:02:30Z","timestamp":1589162550000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Level of adult client satisfaction with clinic flow time and services of an integrated non-communicable disease-HIV testing services clinic in Soweto, South Africa: a cross-sectional study"],"prefix":"10.1186","volume":"20","author":[{"given":"Kathryn L.","family":"Hopkins","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khuthadzo E.","family":"Hlongwane","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kennedy","family":"Otwombe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janan","family":"Dietrich","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mireille","family":"Cheyip","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nompumelelo","family":"Khanyile","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanya","family":"Doherty","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Glenda E.","family":"Gray","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,5,11]]},"reference":[{"issue":"2016","key":"5256_CR1","first-page":"86","volume":"21","author":"N Mohlabane","year":"2015","unstructured":"Mohlabane N, Tutshana B, Peltzer K, Mwisongo A. 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