Trial design
Differentiated biosocial HIV
This hybrid design trial will include a cluster randomized stepped-wedge design to assess effectiveness and a realist process evaluation to assess implementation outcomes, conducted over 45 months from 2022 to 2024 (Fig. Hybrid design 1 effectiveness implementation trial designWe will use a realist process evaluation to interrogate the extent to which the intervention components deliver according to the theory of change (Fig. Theory of change (ToC) for Differentiated biosocial HIV prevention—Social mobilization, SRH and tailored HIV