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Table 2 Application of the RE-AIM framework to evaluate integration of PrEP delivery in into public health FP clinics

From: Integrating PrEP delivery in public health family planning clinics: a protocol for a pragmatic stepped wedge cluster randomized trial in Kenya

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