Table 1 Quantitative implementation outcomes for clients and illustrative explanatory qualitative quotes (see Additional file 1 for outcome definitions)
Outcomes | Quantitative results | Illustrative quotes |
|---|---|---|
Feasibility | Testing peer navigators hired and retained, able to test in the community (39% in home, 60% in community) Social media outreach conducted as planned and closed group on generic social media platform initiated and continued weekly, led by peer navigators and program leads | "And for … testing peer navigator, we make use of that (social media) as a strategy to get to know new people, new members” (peer navigator) “after adding them on WhatsApp, you still need to create a mutual rapport with them. Let them know that there is a place you can still add them, whereby they will be receiving daily topic concerning … health (peer navigator) |
Fidelity | 100% had pre-test counseling before undergoing rapid testing, followed by post-test counseling based on test results People testing negative for HIV infection: 99.7% (302/303) reminded for follow-up People testing positive for HIV infection :100% (36/36) received confirmatory test and referral for care within 30 days | "so, I seek their consent first before anything and I move into counselling and after giving their consent for the testing, I counsel with them. I move on to test them and for post-counselling” (peer navigator) |
Adoption | 100% of peer navigators participated in social media, conducted in-person outreach, testing, and navigation | "that I try to familiarize myself with the client., I talk to them about their daily activities if need be and …., so, I seek their consent first before anything and I move into counselling and after giving their consent for the testing, I counsel with them. I move on to test them and for post-counselling … And then, if it’s a negative result, I talk to them about all the preventive and protective measures and … if it’s reactive, I continue with my post-counselling and eventually navigate them for confirmation at any available clinic” (peer navigator) |
Acceptabilitya | 99% (336) who agreed to meet with the peer navigator accepted testing by thema Most (83.5%) were referred through iCARE social media 410 young men participated in the WhatsApp group | "because our peer navigators, they have been trained before we embark on a field work. So, the persuasive power of the peer navigator, and the ability to engage these people, and they see them as being part of them. The participants see the peer navigator as being part of them” (Program Staff) |
Reach | All individual enrolled identified as male at birth and were in the targeted age group | "of course the social media has really been a successful … strategy and that has really helped our work and all that. Like WhatsApp, Facebook and Grindr.” (peer navigator) I do make to them is that “ok, fine I am MSM. We have lots of MSM there in the clinic …. So, and this is what we do, and don’t even look at any other person, look at me as the same community member.”(peer navigator) |
Maintenance | All peer navigators remained in iCARE and providing testing throughout the study | "So, at the end of the week, we come to review what we have done in the field and even within the uhm in the office. So, planning meetings, review meetings and with team work, those are 2 major factor. ….there are times we start seeing that they (PNs) become like nonchalant, they are getting tired. They are like err, they don’t want to do, so we just try to put them on their toes. We give them more, like more work to do. [laughter] yes, we do that….And encourage them too” (Program staff) |