Table 1. Outline of study characteristics in Zambia and Lesotho.
Characteristics | Zambia | Lesotho |
---|---|---|
Study site | Ngungu-Bwacha, Kabwe town in Central Province | 23 Villages in the district of Butha-Buthe, Lesotho |
Study population | Peri-urban community (high HIV and TB) | Semi-urban to rural community (high HIV and TB) |
Outreach strategy | Walk-in individuals at community hubs *Door-to-door was added in the last two weeks of study |
Active recruitment of individuals by community health workers (CHW) in the villages |
Inclusion criteria | • ≥15 years • currently residing in the community • able to give informed consent |
• ≥18 years • currently residing in the community • showing COVID-19 symptoms and/or COVID-19 contact • no signs of severe symptoms • able to give informed consent |
Study period | 3 months February-April 2022 |
11 months August 2021-June 2022 |
Ag-RDT used | SD Biosensor STANDARD Q COVID-19 Ag Test (SD Biosensor; Republic of Korea) | SD Biosensor STANDARD Q COVID-19 Ag Test (SD Biosensor; Republic of Korea) |
Swab used for self-testing and for testing by CHW | Nasal | Nasal |
Professional user | Trained community health workers | Trained community residents that work together with the ministry of health and provide basic preventive primary health care services. |
Study procedures | Cognitive interviews (did not change IFU) Self–testing following manufacturer’s IFU No assistance from study staff CHW blinded to self-testing result Observation of self-testing Ease of use questionnaire |
Cognitive interviews (IFU was adapted according to results) Self-testing following adapted IFU With assistance from study staff CHW not blinded to self-testing result |