Table 3 CombinADO study arm components during the 12 months of implementation
Component | Rationale | Study arm | |
|---|---|---|---|
Control | Intervention | ||
Radio ads | Engaging radio mini shows that address community stigma and medical literacy through busting common myths with humor and building empathy with heartfelt storytelling | X | X |
Community sensitization campaign | Large-scale, infographic billboards and posters located in public areas and secondary schools to address stigma and medical literacy and promote community support for AYAHIV | X | X |
Informational posters | Large-scale, infographic posters located in clinic waiting areas to normalize HIV and build confidence in treatment | X | X |
Motivation walls | Interactive, patient-generated posters located in the consultation room where patients can post words and phrases about themselves and their futures | X | X |
Pill boxes | A discreet pill container to support ART adherence | X | X |
CombinADO-specific AYAHIV training | Comprehensive in-service training for healthcare workers | X | X |
One-stop shop | Combined adolescent and HIV services | X | X |
Treatment toolkit | A guide to clinic visits and discussions on Art and viral load monitoring to help HCW better communicate with patients | X | X |
Self-reflection kit | A simple handout for providers to help patients reflect on their ART progress and understand the concept of viral load as a measure of ART success | X | X |
Peer support at clinical level | Peer exposure to examples of AYAHIV openly living with HIV and opportunities to share their experiences with HIV in one-on-one interactions with other AYAHIV during clinic visits | X | |
Informational and motivational video | An informational and motivational video that in simple language with engaging graphics that (a) demystifies and simplifies HIV, ART, and viral load and (b) emphasizes that people can live long, healthy lives | X | |
Support groups for caregivers of AYAHIV | A learning, support, and empowerment group for caregivers of AYAHIV. Through monthly gatherings, the program aims to foster confidence and equip caregivers with strategies to support AYHIV adherence journey | X | |
Support groups for AYAHIV | A peer-to-peer learning, support, and empowerment group to address loss of hope and improve medical literacy. Through biweekly gatherings, the program aims to foster belonging and confidence, equipping young people and caregivers with strategies to navigate the adherence journey | X | |
Mental health screening and linkage to adolescent-focused mental health support | HCWs will be trained in the use of a brief mental health screening tool focusing on depression, anxiety, and post-traumatic stress disorder. Mental health service providers at each facility will be trained and supported to provide diagnostic and mental health support to youth with positive screens who agree to further evaluation | X | |