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Table 1 Summary of home visits schedule and session content

From: Community health worker support to improve HIV treatment outcomes for older children and adolescents in Zimbabwe: a process evaluation of the ZENITH trial

Visit type

When?

Key content

1. Initial visit

Within 1 week from enrolment

• Introduction to home visits

2. Introduction

1 week from first clinical visit

• Information and resources on HIV and treatment

• Family mapping

• Assessment of disclosure to child/others

3. Planning for successful treatment

Within 2 weeks after the first treatment monitoring clinic appointment

NB: only for ART-eligible participants

• Development of a personal treatment plan

• Assessment of need/eligibility for referrals to locally available services

• Discussion of managing drug stock-outs/additional treatment charges

4. Side effects

1 month later

NB: only for ART-eligible participants

• Discussion around side effects and treatment experience to date

• Provision of information on managing side effects

5. Disclosure

1 month later

• Discussion around disclosure to the child

6. Maintenance

3 months later

• Discussion around long-term maintenance of treatment

7. Ongoing support

Every 3 months

• Follow-up on issues emerging from clinical monitoring appointments

• Review of need for referrals, assistance with disclosure, and/or support for testing of other household members

• Answering questions, facilitating identification of solutions to emerging challenges, and providing relevant information

8. Unscheduled

At the discretion of the CHW or after a request by the study nurse

• Case by case

  1. NB: once child becomes ART eligible, visits 2–4 are repeated with focus on ART-specific activities