At rural Kenyan clinics, women receiving antenatal and HIV care could queue first at the antenatal clinic and then again at a separate HIV clinic. Providers described visits stretching from 9 a.m. to 2 p.m.; some patients became tired and left before receiving HIV services.
Integrating HIV care into antenatal clinics reduced the journey to one location and one queue. The change did more than save time. It also reduced the visibility of entering an HIV-only service, where other people might infer a patient's status. Queue design therefore shaped both access and privacy.