Table 3 Evaluation of service and client outcomes

Service level: Timeliness

Eligible clients who are willing and clinically eligible start ART on the same day of HIV diagnosis, and time between diagnosis and ART initiation is significantly reduced compared to before CB-SDART implementation

Days from HIV diagnosis to ART initiation before CB-SDART implementation compared to after CB-SDART implementation

Days from HIV diagnosis to ART initiation at CBO 1 (after CB-SDART implementation) compared to at CBO 2 (before CB-SDART implementation during the same period in time)

eCRF: historical routine service data, NAPPLUS Database

CITS

Service level: Patient centeredness

CB-SDART initiation is tailored to meet the preferences and needs of clients with high ART initiation uptake among eligible clients

Proportion of clients who initiate ART after being informed about their HIV diagnosis before CB-SDART implementation compared to after CB-SDART implementation

Proportion of clients who initiate ART after being informed about their HIV diagnosis at CBO 1 (after CB-SDART implementation) compared to at CBO 2 (before CB-SDART implementation during the same period in time)

eCRF: historical routine service data, NAPPLUS Database

CITS

Client level: Satisfaction

High satisfaction with CB-SDART services among clients

Proportion of clients indicating to be satisfied with CB-SDART service

Satisfaction survey

Descriptive analysis

In-depth interviews: Interview notes, audio recordings, transcripts

Qualitative analysis

Client level: Function

High rate of retention in care at three, six, and twelve months after CB-SDART initiation

Proportion of clients retained in care at month 3, month 6, and month 12 after ART initiation, comparing proportions before CB-SDART implementation to after CB-SDART implementation

Proportion of clients retained in care at month 3, month 6, and month 12 after ART initiation, comparing proportions at CBO 1 (after CB-SDART implementation) compared to at CBO 2 (before CB-SDART implementation during the same period in time)

eCRF: historical routine service data, NAPPLUS Database

CITS

Client level: Symptomatology

High rate of virologic suppression achieved six and twelve months after CB-SDART initiation

Proportion of clients achieving virologic suppression at month 6 and month 12 after ART initiation, comparing proportions before CB-SDART implementation to after CB-SDART implementation

Proportion of clients achieving virologic suppression at month 6 and month 12 after ART initiation, comparing proportions at CBO 1 (after CB-SDART implementation) compared to at CBO 2 (before CB-SDART implementation during the same period in time)

eCRF

Descriptive analysis