| Primary | Change in Percent of Participants With Dual HIV and Blood Pressure Control | Measured by an HIV RNA level of <1000 copies per mL on the most recent measure and systolic blood pressure <140 mmHg and/or diasystolic blood pressure <90 mmHg. Dual control defined as HIV control (i.e., viral load <1,000 c/mL for those with a documented viral load + evidence of 6MMD for those with missing viral load) + Hypertension control (SBP<140 mmHg AND DBP<90 mmHg) | Eleven patient participants with incomplete data were excluded. | Posted | | Number | | percentage of participants | | Baseline to 6 months | | | | ID | Title | Description |
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| OG000 | Standard of Care | During the control period, participants receive the current standard of care (SOC) in Zambia. Under the SOC in Zambian health facilities, the screening, diagnosis, and treatment of cardio-metabolic NCDs are generally unavailable in the clinical departments where most PLHIV seek and receive health services (i.e., ART and DSD clinics), and typically are only offered for hypertension in the general outpatient medical settings that provide urgent care-like services. Under the SOC, health worker capacity to diagnose and manage cardio-metabolic NCDs, including among non-physicians and community health workers, is severely limited and not protocolized like HIV services. | | OG001 | TASKPEN | During the intervention period, participants receive TASKPEN intervention services. TASKPEN: The package of integrated HIV/NCD services:
- WHO PEN protocols, algorithm, & training materials adapted for Zambia
- Access to cardio-metabolic condition screening & laboratory monitoring
- Non communicable disease-focused electronic medical record module
- Integrated non-communicable/HIV care ("one stop shop" for services)
- Strengthened non-communicable disease (NCD) medication supply chain, including multi-month dispensing (MMD)
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| Secondary | Number of Clinics That Adopted the Intervention (Intervention Adoption) | Adoption measured based on Reach Evaluation Adoption Implementation and Maintenance (RE-AIM) and Consolidated Framework for Implementation Research (CFIR) which are implementation-oriented and empirically supported frameworks for adapting, introducing, and evaluating evidence-based interventions in routine practice settings. The number of facilities initiating TASKPEN intervention integrated care at approximately 6 months after TASKPEN introduction. | | Posted | | Count of Units | | Clinics | | 6 months | Clinics | Clinics | | ID | Title | Description |
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| OG000 | Standard of Care | During the control period, participants receive the current standard of care (SOC) in Zambia. Under the SOC in Zambian health facilities, the screening, diagnosis, and treatment of cardio-metabolic NCDs are generally unavailable in the clinical departments where most PLHIV seek and receive health services (i.e., ART and DSD clinics), and typically are only offered for hypertension in the general outpatient medical settings that provide urgent care-like services. Under the SOC, health worker capacity to diagnose and manage cardio-metabolic NCDs, including among non-physicians and community health workers, is severely limited and not protocolized like HIV services. | | OG001 | TASKPEN | During the intervention period, participants receive TASKPEN intervention services. TASKPEN: The package of integrated HIV/NCD services:
- WHO PEN protocols, algorithm, & training materials adapted for Zambia
- Access to cardio-metabolic condition screening & laboratory monitoring
- Non communicable disease-focused electronic medical record module
- Integrated non-communicable/HIV care ("one stop shop" for services)
- Strengthened non-communicable disease (NCD) medication supply chain, including multi-month dispensing (MMD)
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| Secondary | Number of Trained Healthcare Providers (Intervention Reach) | Number of healthcare providers working at the pilot clinic antiretroviral therapy (ART), differentiated service delivery (DSD), and outpatient departments who were trained in the implementation of the TASKPEN intervention package. | The number of healthcare workers analyzed reflects the overall total number who were trained at the clinics and may include overlap from the Healthcare Providers enrolled to participate in the study survey. | Posted | | Count of Participants | | Participants | | During 2 weeks prior to initiation of TASKPEN | | | | ID | Title | Description |
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| OG000 | Cluster 1 Healthcare Providers (George) | 3 months without TASKPEN (Standard of Care (SOC)) and 6 months with TASKPEN. Training for Healthcare Providers was done at the time the clinic was switching from SOC to the TASKPEN intervention. | | OG001 | Cluster 2 Healthcare Providers (Chilenje) | 6 months without TASKPEN (Standard of Care (SOC)) and 3 months with TASKPEN. Training for Healthcare Providers was done at the time the clinic was switching from SOC to the TASKPEN intervention. |
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| Secondary | Changes in HIV Disease Control, as Measured by the Percent of Patient Participants With HIV RNA Suppression (Defined as <1,000 Copies/mL) | Measured by the percent of patient participants with HIV RNA suppression (defined as <1,000 copies/mL) | Data are reported for all patient participants with viral load test results available. | Posted | | Number | | percentage of participants | | Baseline to 6 months | | | | ID | Title | Description |
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| OG000 | Standard of Care | During the control period, participants receive the current standard of care (SOC) in Zambia. Under the SOC in Zambian health facilities, the screening, diagnosis, and treatment of cardio-metabolic NCDs are generally unavailable in the clinical departments where most PLHIV seek and receive health services (i.e., ART and DSD clinics), and typically are only offered for hypertension in the general outpatient medical settings that provide urgent care-like services. Under the SOC, health worker capacity to diagnose and manage cardio-metabolic NCDs, including among non-physicians and community health workers, is severely limited and not protocolized like HIV services. | | OG001 | TASKPEN | During the intervention period, participants receive TASKPEN intervention services. TASKPEN: The package of integrated HIV/NCD services:
- WHO PEN protocols, algorithm, & training materials adapted for Zambia
- Access to cardio-metabolic condition screening & laboratory monitoring
- Non communicable disease-focused electronic medical record module
- Integrated non-communicable/HIV care ("one stop shop" for services)
- Strengthened non-communicable disease (NCD) medication supply chain, including multi-month dispensing (MMD)
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| Secondary | Change in Intervention Appropriateness | The "Intervention appropriateness measure (IAM)" among healthcare providers. The minimum score is 1 and maximum is 5. Higher scores indicate greater appropriateness. | | Posted | | Mean | Standard Deviation | score on a scale | | Baseline to 6 months | | | | ID | Title | Description |
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| OG000 | Healthcare Providers During Standard of Care | Healthcare Providers employed at the clinic overseeing patient participants during the control period (current standard of care (SOC)) in Zambia. Under the SOC in Zambian health facilities, the screening, diagnosis, and treatment of cardio-metabolic NCDs are generally unavailable in the clinical departments where most PLHIV seek and receive health services (i.e., ART and DSD clinics), and typically are only offered for hypertension in the general outpatient medical settings that provide urgent care-like services. Under the SOC, health worker capacity to diagnose and manage cardio-metabolic NCDs, including among non-physicians and community health workers, is severely limited and not protocolized like HIV services. | | OG001 | Healthcare Providers During TASKPEN | Healthcare Providers employed at the clinic overseeing patient participants during the TASKPEN intervention service period. During the intervention period, patient participants receive TASKPEN intervention services. TASKPEN: The package of integrated HIV/NCD services:
- WHO PEN protocols, algorithm, & training materials adapted for Zambia
- Access to cardio-metabolic condition screening & laboratory monitoring
- Non communicable disease-focused electronic medical record module
- Integrated non-communicable/HIV care ("one stop shop" for services)
- Strengthened non-communicable disease (NCD) medication supply chain, including multi-month dispensing (MMD)
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| Secondary | Change in Intervention Acceptability | Measured by the "Acceptability of Intervention measure (AIM)" among health care providers. The minimum score is 1 and maximum is 5. Higher scores indicate greater acceptability. | | Posted | | Mean | Standard Deviation | score on a scale | | Baseline to 6 months | | | | ID | Title | Description |
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| OG000 | Healthcare Providers During Standard of Care | Healthcare Providers employed at the clinic overseeing patient participants during the control period (current standard of care (SOC)) in Zambia. Under the SOC in Zambian health facilities, the screening, diagnosis, and treatment of cardio-metabolic NCDs are generally unavailable in the clinical departments where most PLHIV seek and receive health services (i.e., ART and DSD clinics), and typically are only offered for hypertension in the general outpatient medical settings that provide urgent care-like services. Under the SOC, health worker capacity to diagnose and manage cardio-metabolic NCDs, including among non-physicians and community health workers, is severely limited and not protocolized like HIV services. | | OG001 | Healthcare Providers During TASKPEN | Healthcare Providers employed at the clinic overseeing patient participants during the TASKPEN intervention service period. During the intervention period, patient participants receive TASKPEN intervention services. TASKPEN: The package of integrated HIV/NCD services:
- WHO PEN protocols, algorithm, & training materials adapted for Zambia
- Access to cardio-metabolic condition screening & laboratory monitoring
- Non communicable disease-focused electronic medical record module
- Integrated non-communicable/HIV care ("one stop shop" for services)
- Strengthened non-communicable disease (NCD) medication supply chain, including multi-month dispensing (MMD)
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| Secondary | Change in Intervention Feasibility | Measured by the "Feasibility of Intervention Measure (FIM)" among Healthcare providers. The minimum score is 1 and maximum is 5. Higher scores indicate greater feasibility. | | Posted | | Mean | Standard Deviation | score on a scale | | Baseline to 6 months | | | | ID | Title | Description |
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| OG000 | Healthcare Providers During Standard of Care | Healthcare Providers employed at the clinic overseeing patient participants during the control period (current standard of care (SOC)) in Zambia. Under the SOC in Zambian health facilities, the screening, diagnosis, and treatment of cardio-metabolic NCDs are generally unavailable in the clinical departments where most PLHIV seek and receive health services (i.e., ART and DSD clinics), and typically are only offered for hypertension in the general outpatient medical settings that provide urgent care-like services. Under the SOC, health worker capacity to diagnose and manage cardio-metabolic NCDs, including among non-physicians and community health workers, is severely limited and not protocolized like HIV services. | | OG001 | Healthcare Providers During TASKPEN | Healthcare Providers employed at the clinic overseeing patient participants during the TASKPEN intervention service period. During the intervention period, patient participants receive TASKPEN intervention services. TASKPEN: The package of integrated HIV/NCD services:
- WHO PEN protocols, algorithm, & training materials adapted for Zambia
- Access to cardio-metabolic condition screening & laboratory monitoring
- Non communicable disease-focused electronic medical record module
- Integrated non-communicable/HIV care ("one stop shop" for services)
- Strengthened non-communicable disease (NCD) medication supply chain, including multi-month dispensing (MMD)
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| Secondary | Intervention Cost Per Patient | Measured by cost per patient and reported in Zambian Kwacha. The analysis focused on the expenditures paid out of pocket for HIV and hypertension care. These data were collected from one site only (Chilenje). | These data were collected only at one study site. These data reflect out-of-pocket expenditures for participants living with HIV and at least one non-communicable disease co-morbidity. | Posted | | Mean | Standard Error | Kwacha (ZMW) | | 6 months | | | | ID | Title | Description |
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| OG000 | Standard of Care | 6 months without TASKPEN (Standard of Care (SOC)). During the control period, participants receive the current standard of care (SOC) in Zambia. Under the SOC in Zambian health facilities, the screening, diagnosis, and treatment of cardio-metabolic NCDs are generally unavailable in the clinical departments where most PLHIV seek and receive health services (i.e., ART and DSD clinics), and typically are only offered for hypertension in the general outpatient medical settings that provide urgent care-like services. Under the SOC, health worker capacity to diagnose and manage cardio-metabolic NCDs, including among non-physicians and community health workers, is severely limited and not protocolized like HIV services. | | OG001 | TASKPEN | 3 months with TASKPEN During the intervention period, participants receive TASKPEN package of integrated HIV/NCD services:
- WHO PEN protocols, algorithm, & training materials adapted for Zambia
- Access to cardio-metabolic condition screening & laboratory monitoring
- Non communicable disease-focused electronic medical record module
- Integrated non-communicable/HIV care ("one stop shop" for services)
- Strengthened non-communicable disease (NCD) medication supply chain, including multi-month dispensing (MMD).
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