Table 2.

Modifications to the protocol and intervention adjustments/considerations

Date	Amendment
August 2015	Required a digital photo-capturing method to document drug and pregnancy tests, to be later verified by the project manager
November 2015	Adopted the use of clinic-issued ARV cards and ARV medication as proof of participant’s HIV-positive status in the absence of patient records
November 2015	Allowed the use of outreach assistants (who are different from the outreach field staff) to identify locations to reach potential participants.
August 2016	Added collecting HIV viral load tests results from participant clinics to validate self-reported ART adherence
August 2016	Added a sustainability questionnaire to be administered to clinic staff, to monitor sustainability of the WHC Intervention Adjustments/Considerations: The drugs of abuse needed some adjustments for the local context from other regions; personalized plan used in previous studies was not found to be feasible because of concerns about time limitations; there was not time for case-management or interventionist follow-up from the sessions; transportation and childcare would have to be considered; training clerks and community healthcare workers such as nurses/clinicians were too busy; fidelity checks cannot always be audio-recorded because of steady intercom usage.