Study intervention
HIV rapid blood test
The person‐centred “Dynamic Choice HIV Prevention” (DCP) implementation strategy for delivering existing evidence‐based, biomedical prevention interventions was developed using the PRECEDE framework for health promotion strategies to address “predisposing” factors (i.e. knowledge, attitudes or beliefs) that impact behaviour, “enabling” factors to facilitate behaviour and “reinforcing” factors that include consequences of following a behaviour (Table Person‐centred, Dynamic Choice Prevention (DCP) delivery model.
Abbreviations: ANC, antenatal clinics; OPD, outpatient departments.The intervention is being delivered using a person‐centred approach designed to be sensitive and responsive to the choice and preference of the clients. The intervention is being delivered by clinical officers and nurses in the ANC and OPD and by community health workers (CHWs) who facilitate intervention by clinical officers from the local health centre in the community trial. All clinical and community health team staff (i.e. clinical officers, nurses, coordinators and health workers) are trained and equipped for HIV prevention care in the clinical setting, appropriate to their role. Service delivery is deliberately designed to be offered in a warm and friendly atmosphere aimed at making clients feel comfortable during the participant—provider interactions. The intervention is designed to enhance flexibility and convenience by presenting choice to participants with the following components:
Biomedical product choice: the option of oral PrEP or PEP.Service location choice: the options of the location of service delivery, including home, clinic, other community locations and phone/virtual visits.Testing choice: the options of HIV rapid blood test and oral‐based self‐testing (HIVST) with clinician‐assisted testing in cases where participants need help during self‐testing.Refill duration choice: the option to select the duration of their refill (1−3 months) based on their personal preference which hinges on factors, such as travel.