Table 2 Modifications to the protocol and intervention adjustments/considerations
Date | Amendment |
|---|---|
August 2015 | Required a digital photo-capturing method to document drug and pregnancy tests, to be later verified by the project manager |
November 2015 | Adopted the use of clinic-issued ARV cards and ARV medication as proof of participant’s HIV-positive status in the absence of patient records |
November 2015 | Allowed the use of outreach assistants (who are different from the outreach field staff) to identify locations to reach potential participants. |
August 2016 | Added collecting HIV viral load tests results from participant clinics to validate self-reported ART adherence |
August 2016 | Added a sustainability questionnaire to be administered to clinic staff, to monitor sustainability of the WHC Intervention Adjustments/Considerations: The drugs of abuse needed some adjustments for the local context from other regions; personalized plan used in previous studies was not found to be feasible because of concerns about time limitations; there was not time for case-management or interventionist follow-up from the sessions; transportation and childcare would have to be considered; training clerks and community healthcare workers such as nurses/clinicians were too busy; fidelity checks cannot always be audio-recorded because of steady intercom usage. |