Study recruitment and outcome of provider-initiated HIV testing and counselling.

<p>Study recruitment and outcome of provider-initiated HIV testing and counselling.</p

Association between baseline variables and child/guardian refusing HIV testing.

a<p><i>n</i> = 2,061 for the multivariable model. All variables significant at the <i>p</i> = 0.1 significance level on univariate analysis were included in the multivariable model (age of child, orphanhood, poor health, skin problems, and sex of guardian).</p>b<p>One missing value.</p>c<p>73 missing values.</p>d<p>71 missing values.</p>e<p>72 missing values.</p>f<p>73 missing values.</p>g<p>Seven missing values.</p>h<p>13 missing values.</p><p>OR, odds ratio.</p

Set-up of workstation and client flow through the occupational health program.

Set-up of workstation and client flow through the occupational health program.</p

Inclusivity in global research questionnaire.

Health workers are essential for a functioning healthcare system, and their own health is often not addressed. During the COVID-19 pandemic health workers were at high risk of SARS-CoV-2 infection whilst coping with increased healthcare demand. Here we report the development, implementation, and uptake of an integrated health check combining SARS-CoV-2 testing with screening for other communicable and non-communicable diseases for health workers in Zimbabwe during the COVID-19 pandemic. Health checks were offered to health workers in public and private health facilities from July 2020 to June 2022. Data on the number of health workers accessing the service and yield of screening was collected. Workshops and in-depth interviews were conducted to explore the perceptions and experiences of clients and service providers. 6598 health workers across 48 health facilities accessed the service. Among those reached, 5215 (79%) were women, the median age was 37 (IQR: 29–44) years and the largest proportion were nurses (n = 2092, 32%). 149 (2.3%) healthcare workers tested positive for SARS-CoV-2. Uptake of screening services was almost 100% for all screened conditions except HIV. The most common conditions detected through screening were elevated blood pressure (n = 1249; 19%), elevated HbA1c (n = 428; 7.7%) and common mental disorder (n = 645; 9.8%). Process evaluation showed high acceptability of the service. Key enablers for health workers accessing the service included free and comprehensive service provision, and availability of reliable point-of-care screening methods. Implementation of a comprehensive health check for health workers was feasible, acceptable, and effective, even during a pandemic. Conventional occupational health programmes focus on infectious diseases. In a society where even health workers cannot afford health care, free comprehensive occupational health services may address unmet needs in prevention, diagnosis, and treatment for chronic non-communicable conditions.</div

Process evaluation qualitative reports (Themes, codes and supporting quotations from workshops).

Process evaluation qualitative reports (Themes, codes and supporting quotations from workshops).</p

Design used for the poster and fliers.

Health workers are essential for a functioning healthcare system, and their own health is often not addressed. During the COVID-19 pandemic health workers were at high risk of SARS-CoV-2 infection whilst coping with increased healthcare demand. Here we report the development, implementation, and uptake of an integrated health check combining SARS-CoV-2 testing with screening for other communicable and non-communicable diseases for health workers in Zimbabwe during the COVID-19 pandemic. Health checks were offered to health workers in public and private health facilities from July 2020 to June 2022. Data on the number of health workers accessing the service and yield of screening was collected. Workshops and in-depth interviews were conducted to explore the perceptions and experiences of clients and service providers. 6598 health workers across 48 health facilities accessed the service. Among those reached, 5215 (79%) were women, the median age was 37 (IQR: 29–44) years and the largest proportion were nurses (n = 2092, 32%). 149 (2.3%) healthcare workers tested positive for SARS-CoV-2. Uptake of screening services was almost 100% for all screened conditions except HIV. The most common conditions detected through screening were elevated blood pressure (n = 1249; 19%), elevated HbA1c (n = 428; 7.7%) and common mental disorder (n = 645; 9.8%). Process evaluation showed high acceptability of the service. Key enablers for health workers accessing the service included free and comprehensive service provision, and availability of reliable point-of-care screening methods. Implementation of a comprehensive health check for health workers was feasible, acceptable, and effective, even during a pandemic. Conventional occupational health programmes focus on infectious diseases. In a society where even health workers cannot afford health care, free comprehensive occupational health services may address unmet needs in prevention, diagnosis, and treatment for chronic non-communicable conditions.</div

Screened condition, screening tool, cut-points and referral pathways.

Screened condition, screening tool, cut-points and referral pathways.</p

Number of people eligible and taking up each of the screening tests offered.

Number of people eligible and taking up each of the screening tests offered.</p

Map of Zimbabwe showing the geographical spread of the service provision.

The map was created using shape files from Humanitarian Data Exchange; Zimbabwe National Statistics Agency, and plotted in R using the sf and tmap packages. https://data.humdata.org/dataset/cod-ab-zwe.</p

Weekly enrolment, notified national SARS-CoV-2 infections and service development.

Weekly enrolment, notified national SARS-CoV-2 infections and service development.</p