Welcoming by Design Pilot: Reducing Structural Stigma by Changing Clinic Systems and Architectural Design

Welcoming by Design Pilot: Reducing Structural Stigma by Changing Clinic Systems and Architectural Design to Make HIV Clinics More Friendly, Private, and Patient-Centric

The purpose of this study is to test the feasibility and acceptability of implementing clinic system changes and physical structures in Uganda to improve aesthetics, welcome, and privacy to reduce HIV stigma, improve retention-in-care, and improve the patient experience.

To evaluate pilot/implementation outcomes, the outcomes of fidelity, feasibility, and acceptability will be assessed prior to intervention. After the changes are done to two HIV interventions clinics, the outcome surveys will assess if the changes were disruptive or impeded the workings of the clinics.

Inclusion Criteria:

• Adults 18 and older
• Enrolled in the HIV clinics where we are working
• Able to independently consent for interview, survey, or focus group.

Exclusion Criteria:

• Unable to provide consent
• Does not speak English or Luganda (local language around Kampala and Entebbe)