Results of a cluster randomized trial testing the systems analysis and improvement approach to increase HIV testing in family planning clinics.

ABSTRACT:

Objective

The aim of this study was to test an implementation strategy, the Systems Analysis and Improvement Approach (SAIA), to increase rates of HIV testing and counseling (HTC) in family planning clinics in Mombasa, Kenya.

Design

A cluster randomized trial.

Methods

Twenty-four family planning clinics were randomized 1 : 1 to implementing SAIA versus usual procedures. Study staff implemented monthly SAIA cycles with family planning clinic staff for 12 months. SAIA has five steps. Step 1 uses a "cascade analysis' tool to quantify the number of individuals who complete each step of a process. Step 2 involves sequential process flow mapping to identify modifiable bottlenecks in the system. Step 3 develops and implements workflow modifications to address bottlenecks. St

SUBMITTER: Eastment MC 

PROVIDER: S-EPMC8702477 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature