Table 2 Process flow for the FPD and Social Franchise HTS
Item | Activity | FPD | Social franchise |
|---|---|---|---|
1. Counsellor Recruitment and contracting | Contract | 1. Employed by FPD 2. Normal employment contract 3. Normal payroll contract 4. Work for 8 h a day | 1. Unemployed, self-employed or employed elsewhere, not employed by FPD 2. Contracted by franchisee-franchisor contract 3. No restriction on hours, days worked 4. Test >/= 100 people per month 5. Test>/5 HIV + tests per month 6. Link >/= 4 HIV + clients per month |
Remuneration | 1. Fixed monthly salary | 1. Paid $3.20 per HIV test 2. Paid $8 per HIV + client linked | |
| Â | Training | Training focussed on: 1. Pre-test, test, post-test, documentation, referral and linkage to care | Training focussed on: 1. Pre-test, test, post-test, documentation, referral and linkage to care 2. business development & management |
2. Mobilisation | Community level mobilisation | Community events; flyers; campaigns (e.g. couples counselling); conducting systematic door-to-door mobilization campaigns distributing flyers, and condoms | Community events; flyers; campaigns (e.g. couples counselling); conducting systematic door-to-door mobilization campaigns distributing flyers, and condoms |
Individual level mobilisation | Informing households on the benefits and availability of testing for HIV; scheduling household level testing appointments and/or actively recruiting clients for same day HTS | Informing households on the benefits and availability of testing for HIV; scheduling household level testing appointments and/or actively recruiting clients for same day HTS | |
3. Documentation | Questionnaire and database | Questionnaire interview on: 1. Personal Data 2. Demographic characteristics 3. HIV testing history 4. HIV test results 5. HIV prevention and risk 6. TB/STI screening 7. Referral 8. Linkage to care 9. (bi) monthly, quarterly, annual reports | Questionnaire interview on: 1. Demographic characteristics 2. HIV testing history 3. HIV test results 4. TB/STI screening 5. HIV prevention and risk 6. TB/STI screening 7. Referral 8. Linkage to care 9. (bi) monthly, quarterly, annual reports |
Payment | Paid per normal payroll | Monthly payment claims to franchisor | |
4. Basic package of services | Pre-test | 1. Information and education 2. Screening 3. Condom education and distribution | 1. Information and education 2. Screening 3. Condom education and distribution |
Test | 1. Informed written consent 2. HIV testing using national algorithm | 1. Informed written consent 2. HIV testing using national algorithm | |
Post-test | 1. tailor-made counselling based on test result(s) and life situation 2. referral for psychosocial support 3. referral for HIV treatment and care 4. development of tailored linkage plans and timelines looking at individual barriers and concerns 5. if negative: risk reduction counselling, appropriate HIV prevention services | 1. tailor-made counselling based on test result(s) and life situation 2. referral for psychosocial support 3. referral for HIV treatment and care 4. development of tailored linkage plans and timelines looking at individual barriers and concerns 5. if negative: risk reduction counselling, appropriate HIV prevention services | |
5. Follow up | Referral to HIV care and treatment | Discuss referral health facility | Discuss referral health facility |
Linkage and service update | Actively follow up to verify and document linkage to care | Actively follow up to verify and document linkage to care |