Evidence map›Paper›PMID 31996189›Full record

ArticleBMC public health2020

Social franchising of community-based HIV counselling and testing services to increase HIV testing and linkage to care in Tshwane, South Africa: study protocol for a non-randomised implementation trial.

Simukai Shamu, Charles Chasela, Jean Slabbert, Thato Farirai, Geoffrey Guloba, Nkhensani Nkhwashu

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Simukai ShamuFoundation for Professional Development, Health Systems Strengthening Division, Pretoria, South Africa. shamuts@yahoo.com.ORCID http://orcid.org/0000-0002-2290-0515
Charles ChaselaUniversity of the Witwatersrand, Department of Epidemiology and Biostatistics, School of Public Health, Johannesburg, South Africa.
Jean SlabbertFoundation for Professional Development, Health Systems Strengthening Division, Pretoria, South Africa.
Thato FariraiFoundation for Professional Development, Health Systems Strengthening Division, Pretoria, South Africa.
Geoffrey GulobaFoundation for Professional Development, Health Systems Strengthening Division, Pretoria, South Africa.
Nkhensani NkhwashuFoundation for Professional Development, Health Systems Strengthening Division, Pretoria, South Africa.
Foundation for Professional Development · ZAUniversity of the Witwatersrand · ZA

Funding

U.S. President's Emergency Plan for AIDS Relief 00
6 · The paper itself

Abstract

backgroundMeeting the ambitious UN 90-90-90 HIV testing, treatment and viral load suppression targets requires innovative strategies and approaches in Sub-Saharan Africa. To date no known interventions have been tested with community health workers (counsellors) as social franchisees or owner-managed businesses in Community-based HIV counselling and testing (CBCT) work. The aim of this methods paper is to describe a Social franchise (SF) CBCT implementation trial to increase HIV testing and linkage to care for individuals at community levels in comparison with an existing CBCT programme methods. METHODS/

designThis is a two arm non-randomised community implementation trial with a once off round of post-test follow-up per HIV positive participant to assess linkage to care in low income communities. The intervention arm is a social franchise CBCT in which unemployed, self-employed or employed community members are recruited, contracted and incentivised to test at least 100 people per month, identifying at least 5 HIV positive tests and linking to care at least 4 of them. Social franchisees receive approximately $3.20 per HIV test and $8 per client linked to care. In the control arm, full-time employed HIV counsellors conduct CBCT on a fixed monthly salary. Primary study outcomes are HIV testing uptake rate, HIV positivity, Linkage to care and treatment rate and average counsellors' remuneration cost. Data collection will be conducted using both paper-based and electronic data applications by CBCT or SF counsellors. Data analysis will compare proportions of HIV testing, positivity, linkage to HIV care and treatment rates and counsellors' cost in the two study arms. DISCUSSION: The study will provide important insight into whether the SF-delivered CBCT programme increases testing coverage and linkage to care as well as reducing CBCT cost per HIV test and per HIV positive person linked to care.

trial registrationPan African Clinical Trial Registry PACTR201809873079121. The trial was retrospectively registered on 11 September 2018.

Indexed as

AdolescentAdultCommunity Health ServicesContinuity of Patient CareCounselingFemaleHIV InfectionsHumansMaleMass ScreeningNon-Randomized Controlled Trials as TopicProgram EvaluationResearch DesignSouth AfricaYoung AdultHIV positivityHIV testingHIV testing and linkage costLinkage to careSocial franchiseSouth Africa

Identifiers

PMID31996189
PMCPMC6988328
OpenAlexW3013182094

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.