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Table 1 Intervention components and levels of intervention support

From: Evaluating a multi-component, community-based program to improve adherence and retention in care among adolescents living with HIV in Zimbabwe: study protocol for a cluster randomized controlled trial

Level of care

Standard Zvandiri support

Enhanced Zvandiri support

Eligibility criteria

• A viral load < 1000 copies/ml in last 6 months

• CD4 count ≥ 200 cells/ml in last 6 months

• Attending all scheduled clinic visits in last 3 months

• Psychologically stable

• Safe

• Commencing ART in past 3 months

• A viral load ≥ 1000 copies/ml in the last 6 months

• CD4 count < 200 cells/ml last 6 months

• Pregnancy

• Failing to attend ≥ 1 scheduled clinic visit(s) in last 3 months

• Psychological distress

• Abuse or neglect

Intervention

• Monthly support group

• Monthly home visit

• Weekly SMS reminder

• Zvandiri Centre contact

• Caregiver workshop

• Monthly support group

• Bi-weekly home visits

• Daily SMS reminder

• Weekly phone calls

• Zvandiri Centre contact

• Caregiver workshop

• Referral and linkages

• Community outreach visits

  1. ART antiretroviral therapy, SMS short message service