Table 1 Theory of change and related indicators

Bring together stakeholders from different system levels to form a district leadership hub

• # of hubs established and sustained to end of project

• # of hub meetings held

• Turnover rate of hub members

Provide hub members with training on research and evaluation, policy engagement and leadership

• Core slate of seven hub training workshops provided for hub members

• Completion of professional exchange visits by hubs

• Mentorship and training provided as hubs develop action plans and evaluation projects

Use a participatory action research approach with hubs as they reflect on research findings from their districts about HIV care and policies

• Action plans and evaluation projects reflect gaps identified through research

• Country-specific research findings (quantitative and qualitative) are shared with hub members

Strengthen hub members’ individual agency and collective capacity to plan, develop, implement and monitor district-level, evidence-informed change strategies

• Hubs develop and implement action plans

• Hub evaluation projects successfully completed

• Hubs disseminate evaluation project findings to their institutions

• Hub members self-assessment of capacity improvements in:

°Leadership and team skills to improve health

°Valuing policy relevance and access

°Disseminating research findings

°Appraising evidence and identifying gaps

°Initiating and undertaking evaluation

°Communicating with decision-makers

°Valuing contributions from people in different roles and at different levels of the health system

Improve delivery of evidence-informed HIV care by nurses and strengthen supporting policies in district health facilities

• Pre/post, intervention/control findings related to stigma, clinical practices and workplace policies