Hiv
Conditions
Brief summary
This project aims to develop a community of practice; then test a combination of community of practice, quality improvement, and a training toolkit, to enhance implementation and clinical outcomes; and identify patterns attributes associated with successful implementation.
Detailed description
Aim 1: To develop and determine the impact of a Community of Practice (CoP) on stakeholder and healthcare worker engagement and knowledge of integrated pre-exposure prophylaxis (PrEP) delivery. Aim 2: To determine the impact of a 3-component scale-up package on implementation outcomes and PrEP patient outcomes among pregnant and postpartum populations. Aim 2a: To determine the impact of the scale-up package on PrEP implementation outcomes, including reach, service penetration, adoption (primary outcomes), and PrEP fidelity and maintenance (secondary outcomes). Aim 2b: To determine the impact of the scale-up package on PrEP patient outcomes, including PrEP initiation and continuation. Aim 3: To identify difference-making bundles of facility- and regional-level attributes and implementation processes that influence reach, fidelity implementation, and maintenance.
Interventions
OTHERImplementation strategy package
Package includes a Community of Practice, a quality improvement (QI) practice, and a training \& delivery toolkit.
Sponsors
University of Washington
National Institutes of Health (NIH)
National Institute of Mental Health (NIMH)
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Intervention model description
Difference in differences design, also known as a controlled pre-post design
Eligibility
Sex/Gender
FEMALE
Age
15 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
Health Care Workers: * work at a facility involved in study * involved in PrEP service delivery * \>=18 years Clients: * female clients seeking health services at study facilities * pregnant or postpartum * \>15 years (includes emancipated minors)
Exclusion criteria
* N/A
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Service penetration | 1 year | Number and proportion of pregnant and postpartum maternal child health clinic (MCH) clients who are screened for PrEP |
| Reach | 1 year | Number of pregnant and postpartum MCH clients initiated on PrEP each month |
| Adoption (provider) | 1 year | Number, proportion, and representativeness of nurses and HIV testing services (HTS) providers who have begun offering or counseling on PrEP in MCH |
| Adoption (facility) | 1 year | Proportion of facilities per county that have begun offering PrEP in MCH |
Countries
Kenya
Contacts
PRINCIPAL_INVESTIGATORAnjuli Wagner, PhD
University of Washington
Outcome results
None listed