Table 2 Characteristics of service modification at DC Cohort HIV clinical sites throughout the COVID-19 Pandemic (N = 14)

ARV Adherence Strategies

 Multi-month dispensation of ARV medication^a

11 (78.6%)

 Alternative drug delivery (i.e., delivery via postal/courier, home/community delivery, or pick-up)

11 (78.6%)

 Use of staff working at home to contact patients remotely to inquire about perceived barriers to regimen maintenance throughout the pandemic

7 (50%)

Appointment Strategies

 Use of staff working at home to contact patients remotely to encourage appointment attendance

9 (64.3%)

 Provision of appointment reminders to patients with missing viral load measures (w/in 6-month window)

7 (50%)

 Prioritization of appointments to patients without viral load measures (w/in 6-month window)

7 (50%)

 Prioritization of appointments for those with changes in their health

7 (50%)

 Reorganization of appointments, only allowing scheduled visits

6 (42.9%)

 Prioritization of appointments for those without HIV/related illness symptoms

2 (14.3%)

Organizational Changes/Modifications

 Reduced clinic hours

5 (35.7%)

 Mobile clinics to reach patients

2 (14.3%)

 Scale up HIV self-testing

2 (14.3%)

 Added new staff

2 (14.3%)

 Extended clinic hours

1 (7.1%)

 Laid off/furloughed staff

0 (0%)

 Reduced staff hours

0 (0%)

 Reduced Staff salaries

0 (0%)

Strategies for Identifying and Supporting Those Lost to Follow-Up During the Pandemic

 Provider offered care to persons with any income level and insurance status^*

9 (64.3%)

 Use e-prescribing for auto refills, even if the patient missed visits^*

8 (57.1%)

 Use CRISP^** to check for hospitalizations of lost patients

8 (57.1%)

 Systematic monitoring of retention in care (e.g., monitoring visit adherence, gaps in care, or visits per interval of time)^*

7 (50%)

 Provided patients navigation services (accompanying to appointments as needed)^*

7 (50%)

 Check vital records for death certificates of patients lost to follow-up

1 (7.1%)