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Table 2 SCALE SAIA-HTN effectiveness outcome measures

From: Scaling-up and scaling-out the Systems Analysis and Improvement Approach to optimize the hypertension diagnosis and care cascade for HIV infected individuals (SCALE SAIA-HTN): a stepped-wedge cluster randomized trial

Measure

Definition

Source

Individual clinical outcomes

 Controlled hypertensiona

% PLHIV, previously diagnosed hypertension, with controlled hypertension after treatment start

Hypertension Patient Form

 HIV viral load suppression

% PLHIV on hypertension meds with viral load suppressed (< 20 copies/mL)

Viral Load Register within Outpatient Register

Service-level process outcomes

 Hypertension screening

% PLHIV at outpatient consults with blood pressure screening for hypertension per month

Outpatient Register

 Hypertension diagnosis

% PLHIV identified hypertensive in outpatient consults, per month

Hypertension Patient Form

 Treatment initiation

% eligible PLHIV-prescribed hypertension meds, per month

Hypertension Patient Form

 Hypertension medication pick up

% PLHIV at a return visit prescribed hypertension meds, who picked them up at the previous visit

Hypertension Patient Form

 Hypertension medication adherence

% PLHIV who completed a visit on time or < 10% late resulting in medication possession ratio of >90%

Hypertension Patient Form

  1. aPrimary outcome of interest