Skip to main content

Table 5 Definition of terms

From: Initial programme theory for community-based ART delivery for key populations in Benue State, Nigeria: a realist evaluation study

 

Definition

Intervention

HIV service delivery models for key populations in ta specific community setting

Context

The existing setting (environment) into which the KP-CBART programme is introduced and the interaction with existing policies, procedures, attitudes, and beliefs and priorities

Micro (individual-cogntive)

Individual and inter-personal related factors such as sexual orientation, age, socioeconomic status, etc

Meso (relational-organisational)

The service delivery areas (i.e. ART centres, outreach venues, DIC) and the community in which the different service delivery points are situated

Macro (societal)

The overall factors, for example, the state or national level i.e. hostile legal/policy environment for example 14 years imprisonment for same-sex offense, harassment by police, stigma and discrimination

Actors

Institutions or agencies, population groups and individuals who play a role in the KP-CBART such as medication adherence counselling, ART refill

Mechanism

The underlying entities, processes, or structures which operate in particular contexts to generate outcomes of interest [32]

The way in which a programme’s resources or opportunities interact with the reasoning of individuals and lead to changes in behaviour (‘response to resources’) [14]

Outcome

A change that is caused or created by the KP-CBART programme

Early outcome

The immediate effect of the KP-CBART

Intermediate outcome

The indirect effect of the KP-CPART programme activities

Long term outcomes

Changes at micro, meso or macro level in the the longer term as a result of the CBART intervention e.g. change in national HIV/AIDS guidelines