Domain | Instrument/measure | Data source and frequency |
---|---|---|
Primary exposure | Â | Â |
Village | Village of residence (binary; intervention vs. control village) | HDSS-annual |
Primary outcomes | Â | Â |
Testing uptake (aim 1) | Binary: tested/untested past 12Â months, among HIV-negative or unknown status residents | Electronic health facility records-ongoing |
 | Binary: known HIV status–either confirmed positive or tested within the last 12 months | Electronic health facility records-ongoing |
Linkage to HIV care (aim 2) | Binary: received baseline CD4 results and evidence of follow-up care (additional CD4, viral load, or treatment initiation) within 3Â months of testing HIV positive | Electronic health facility records-ongoing |
Binary: treatment initiation within 3Â months of positive diagnosis among those eligible for ART | Electronic health facility records-ongoing | |
Retention in HIV care (aim 3) | Binary: HIV patients on or initiating ART who have no more than a 90-day gap in medication received in the 12-month period (no defaulting). | Electronic health facility records-ongoing |
Binary: HIV patients not ART eligiblea who have a repeat CD4 test 6–12 months after initial CD4 | Electronic health facility records-ongoing | |
Meditator/mechanism | Â | Â |
Community mobilization | Six domains of community mobilization measure [53] | Population-based surveys (years 1 and 5) |
Covariates | Â | Â |
Demographics | Age, SES, gender, migration status | HDSS-annual |
Social norms | Stigma [81]; gender norms [41]; community support for HIV testing and treatment [53] | Population-based surveys (years 1 and 5) |
Secondary outcomes | Â | Â |
Testing (aim 1) | Median CD4 of people initiating ART (to explore earlier testing, entry into care) | Electronic health facility records-ongoing |
Re-engagement in care (aims 2 and 3) | Patients out of care (not retained) who are re-engaged in care (have a CD4 test/initiate or re-initiate treatment). | Electronic health facility records-ongoing |
Viral suppression | Proportion of residents with viral load <400 copies/ml | Electronic health facility records-ongoing |
Secondary exposure | Â | Â |
Intervention coverage | Reported exposure to intervention events | Population-based surveys (years 1 and 5) |