Study setting
NAIROBI
The study was conducted in 16 Aga Khan University Hospital Nairobi (AKUH-N) outreach clinics situated within the Nairobi metropolitan area. The outreach clinics are attached to the main AKUH which is a tertiary and referral teaching hospital. The clinics offer primary care services and referrals to the main hospital for specialized medical services. The outreach clinics in Nairobi are located in peri-urban or urban shopping centers and serve patients who are mostly young, educated, formally employed and from a middle or upper middle class background. The clinics are served by medical officers, registered nurses, pharmacy technicians, laboratory technicians, radiographers and receptionist. The clinics have a pharmacy that stocks basic drugs and a laboratory to perform basic tests, including a complete blood count and urine microscopy, but all cultures are referred to the main hospital laboratory.