Table 2 Application of the RE-AIM framework to evaluate integration of PrEP delivery in into public health FP clinics
Domain | Measurement level | Project specific outcome measures |
|---|---|---|
Reach | Individual | â–ª Proportion of women screened for HIV risk and PrEP â–ª Number and proportion of at-risk persons initiated on PrEP |
Clinic | â–ª Characteristics of implementing clinics | |
Effectiveness | Individual | â–ª Incident HIV infection among PrEP users â–ª Detectable tenofovir levels in randomly collected DBS from PrEP users â–ª Client opportunity costs (e.g., clinic wait time) |
Program | â–ª Cost and budget impact from the pragmatic perspective | |
Adoption | Individual | â–ª PrEP continuation |
Clinic | â–ª Number and % of clinics initially approached implementing PrEP in FP clinics â–ª Number and % of trained clinical FP staff who delivered PrEP at least once | |
Implementation | Provider | â–ª Number and % of trained appropriately initiated on PrEP â–ª Consistency of implementation across staff (assessed by patient actors) â–ª Opportunity costs (e.g., Workload, impact on other services) |
Clinic | â–ª Number of clinics regularly completing MOH PrEP M & E tools and report PrEP â–ª Number and proportion of clinics in which screening for HIV risk and PrEP regularly documented. â–ª Proportion of women testing is documented | |
Maintenance | Individual | â–ª 3- and 6-month PrEP continuation rates |
Clinic | â–ª Number of FP clinics implementing PrEP FP 6 months, 12 months after scale back of technical assistance â–ª Number of clinics with PrEP listed in the service charter |