Study intervention
AIDS
Building on our experience offering PrEP and PEP in rural Kenya and Uganda [CONSORT diagram.Prior to the study launch and every 6 months, both CHWs and clinicians received training on client‐centred care, including a framework for structured assessment of barriers and personalization of actions in response. Additionally, both CHWs and clinicians were trained on the DCP intervention and delivery, including structured choices by clients on HIV prevention services. CHWs were also trained on HIV testing, provided with job aids on HIV testing, and had monthly support supervision visits conducted by study laboratory personnel. Finally, external quality assurance and proficiency for HIV testing were performed with MoH panels, achieving 100% accuracy at both baseline and 6 months into the trial.Intervention visits occurred at baseline and at weeks 4, 12, 24, 36 and 48 of follow‐up. Prior to study visits, additional mobilization was conducted by CHWs. At each visit, CHWs offered participants structured choices for HIV prevention services (Figure The DCP intervention was delivered by existing CHWs, leveraging their local knowledge and established relationships in the villages they serve. CHW delivery was overseen by clinicians, who supported rapid HIV testing and risk assessment, oversaw PrEP and PEP initiation, prescribed medications, facilitated switches between PrEP and PEP, responded to phone queries and facilitated refresher training for CHWs.