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Table 1 Overview of PF strategy components

From: Integration of a task strengthening strategy for hypertension management into HIV care in Nigeria: a cluster randomized controlled trial study protocol

Component

Overview

A) Training the POFs to use the 3 E’s to support the interventionists.

POFs will be trained to coach and support the HIV nurses in delivering TASSH as follows:

 • Engage the interventionists via monthly phone calls to address barriers in performing their TASSH duties.

 • Enhance the interventionists ability to sustain TASSH via on-site quarterly visits to observe and supervise them in their duties.

 • Evaluate the interventionist during onsite supervision and in using the learning community (WhatsApp).

B) Training the interventionists on the TASSH protocol (ICTR + 5 A’s).

HIV nurses will be trained to Identify, Counsel, Treat, and Refer (ICTR) PLWH with uncontrolled hypertension using the 5 A’s counseling strategy (Ask, Assess, Advise, Assist, and Arrange) [see Fig.2for more details on the ICTR+5A’s approach].

C) Creating a community learning and engagement environment.

• Developing a community learning environment will support learning opportunities for the POFs and the interventionists via the sharing of structured messages via WhatsApp. These messages will include content on BP measurement techniques, counseling skills, as well as the sharing of hypertension education materials. Information on tips on ICTR will also be shared.

• Promoting a community engagement and support environment for patients by training the interventionists to identify the patient’s preferences for follow-up (i.e., frequency of reminders/phone calls) to check-up on the patient’s health and welfare.