Data collection
For this programmatic project, all clinical and programme data were documented by the facility staff on MOH tools that include PrEP registers and the clinical encounter form which is the standard MOH form for documenting individual‐level clinical records for clients on PrEP, and pharmacy logs for tracking drug prescriptions and dispensing. Over the study duration, PrEP client records, including demographics, HIV behaviour risk assessment and PrEP eligibility, PrEP prescription, dispensing, visit attendance and refills were abstracted off the standard MOH tools typically on a weekly basis by trained project‐dedicated staff into a central database using the SurveyCTO platform. For data quality assurance, we conducted several rounds of data cleaning exercise termed “data reconciliation” which involved project‐dedicated staff triangulating all MOH data sources to ascertain the correctness and completeness of data records. Given the programmatic nature of the data collection, the records reconciliation process focused on ensuring completeness of selected key variables that included: visit attendance, PrEP prescription and dispensing dates, number of PrEP pills/bottles dispensed, HIV test results, de‐identified unique client code, and all baseline demographics and HIV risk behaviours. Discrepancies in data on these records were resolved by confirmation from the facility healthcare providers.The Partners Scale‐Up Project was reviewed and approved by the University of Washington Human Subjects Division, Seattle (STUDY00002183) and the Scientific and Ethics Review Unit of the Kenya Medical Research Institute (SERU/CCR/0048/3328, SERU/CMR/0040/3338) enabling abstraction and analysis of de‐identified and delinked programmatic data. Thus, individual consent was not required for programmatic procedures [