Z 32201 - Effects of a Package of Evidence-based Interventions and Implementation Strategies Based on WHO PEN for People Living With HIV and Cardio-metabolic Conditions in Lusaka, Zambia: A Type II Hybrid Effectiveness-implementation Stepped Wedge Trial
The purpose of this study is to evaluate the effects of a multi-level intervention known as TASKPEN, adapted from the World Health Organization (WHO) Package of Essential Noncommunicable Disease Interventions (WHO-PEN) for the Zambian public health system, on clinical and implementation outcomes for persons living with HIV (PLHIV) with co-morbid cardio-metabolic conditions in Lusaka, Zambia.
⁃ In-depth interview (IDI) participants must be
• HIV-positive adults
• =18 years of age
• survey and/or cohort participants and
• had received HIV and/or NCD services at a TASKPEN study site.
⁃ Focus group discussion (FGD) participants must be:
• =18 years of age;
• a non-physician health care worker (NPHW) or community health worker (CHW)/ lay health provider involved with TASKPEN or integrated HIV/NCD service delivery; and
• generally familiar with HIV and/or NCD service delivery at their facility.
⁃ Key informant interview (KII) participants must be:
• =18 years of age;
• a facility-level ART, DSD, out-patient department (OPD), or relevant clinic leader/ manager/ in-charge, or policy maker at district, provincial, or national level in Zambia; and
• generally familiar with HIV and/or NCD-related issues in their community.
⁃ Implementation questionnaire participants must be:
• HIV-positive adults
• =18 years of age
• who had exposure to the TASKPEN intervention at a study site OR
• =18 years of age,
• a facility-level healthcare provider or manager at district, provincial, or national level in Zambia, and
• familiar with the TASKPEN intervention.
⁃ Costing study participants must be:
• HIV-positive adults
• =18 years of age
• who had received HIV and/or NCD services at a TASKPEN study site OR
• =18 years of age and
• a facility-level healthcare provider or manager at facility, district, provincial, or national level in Zambia, and generally familiar with HIV and/or NCD-related issues.