Table 3 Key differences between Site A and Site B at study baseline
Characteristic | Site A | Site B |
|---|---|---|
Sector | Public | Private, non-profit |
Facility type | Regional teaching and referral hospital | Stand-alone facility |
Governing body | MOH | Executive board |
Services offered at facility | Wide range of primary, secondary, and tertiary care (e.g., diabetes screening, pediatric oncology, intensive care) | Primary and secondary care focused on reproductive, maternal, neonatal, child and adolescent health services |
PrEP delivery history | Prior to and during POWER study, PrEP also offered at hospital’s HIV clinic and in modular booths at hospital entrance | Facility did not offer PrEP prior to POWER study |
Where POWER study delivered PrEP -Description | Outpatient/MCH department −13 consultation rooms (2 specifically for FP), 6 waiting bays, 2 HTS points, 1 lab, 1 pharmacy | Youth-friendly clinic (YFC) −2 consultation rooms and 1 waiting bay. Lab and pharmacy in separate clinic area serving entire clinic. |
FP client volume | ~ 50 FP clients per day | ~ 4 FP clients per day |
Pre-study FP service delivery configuration | Clients check in at registration desk, then move to different service delivery points for HTS (mandatory), FP services, lab exams (if needed), and pharmacy services (if needed). | Clients go directly to YFC and receive FP services and, if needed, HTS in the same room by same provider or with providers coming to them. Clients move for lab exam and pharmacy services, as needed. |
Baseline plan for PrEP integration | Train FP providers to deliver integrated PrEP-FP services (e.g., counsel clients about both at the same time), with clients continuing to receive HTS, lab, and pharmacy services from their respective service delivery points. | PrEP added to existing bundle of services offered to AGYW clients that included HIV testing and counseling, FP counseling, and cervical cancer screening. |