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Table 1 Measurement of adoption

From: Study design and protocol of a stepped wedge cluster randomized trial using a practical implementation strategy as a model for hypertension-HIV integration — the MAP-IT trial

Outcome

Components

Data sources

Measurement

Adoption

Identifying PLWH with uncontrolled hypertension

  

• Measuring blood pressure

• Measuring anthropometrics

• Assessing comorbidities

• Asking about lifestyle factors (physical activity, alcohol consumption, tobacco use, and diet)

Blood pressure monitoring register

Hypertension treatment card

Proportion of PLWH who receive all applicable components of the protocol at each PHC during each time period

Counseling PLWH on lifestyle factors

 

Adoption will be measured each month at each clinic utilizing aggregate data

Treating and referring

• Initiating treatment under the Nigeria hypertension protocol

• Titrating drugs under the Nigeria hypertension protocol

• Referring PLWH with complicated hypertension to secondary health center (as needed)