Table 1.
Example change concepts tested.
| Indicator targeted | Letter | Change concept tested | Outcome |
| HIV prevention and transmission knowledge | A | Clarify with HCW team that open mouth kissing is not a route of HIV transmission | Retained |
| B | Emphasize methods of prevention and transmission during post-test session when information may be better absorbed than during pre-test session | Retained | |
| C | Poster on wall with modes of prevention and routes of transmission | Retained | |
| D | Try harder to remember to discuss modes of prevention and transmission | Not retained | |
| E | Administer pre and post counseling questionnaire about modes of prevention and transmission to AYA | Not retained | |
| F | Confirm and correct AYA knowledge by asking AYA to teach the information back to the HCW | Retained | |
| Satisfaction | G | Play ‘youthful’ music at clinic; ask AYA what kinds of music they like | Retained |
| H | Provide brochure about full range of services available at Youth Center, not only HTS | Retained | |
| I | Use all possible rooms in clinic to conduct HTS to reduce waiting time | Retained | |
| J | Ask AYA how satisfied they feel with services | Not retained | |
| K | Provide warm welcome at reception with smile | Retained | |
| L | Provide AYA-friendly reading material in reception area | Retained | |
| M | Measure waiting time at clinic | Not retained | |
| N | Coordination between counselors and reception to reduce waiting time for HTS | Retained | |
| FP and STI discussion | O | Introduce FP and STI screening into counseling | Retained |
| P | Incorporate FP and STI screening into standardized operating procedures (SOP) | Retained | |
| Q | Call referral clinic to ensure client linked to FP and STI evaluation services | Not retained | |
| R | 3-question pregnancy prevention form placed with other HTS form as visual aid and cue | Retained | |
| Trainings and overall changes | S | HCW training about CQI methodology | |
| T | Leadership training about how to interpret run charts and give feedback | ||
| U | Use of cue cards to prompt all adopted changes | ||
| Intent to retest | No change concepts tested |
AYA, adolescents and young adults; CQI, continuous quality improvement; FP, family planning; HCW, healthcare worker; HTS, HIV testing services; STI, sexually transmitted infection.