Table 1.
Girl Power personnel, training and clinical modifications by clinic and country
| Malawi | South Africa | |||||||
| Model 1 | Model 2 | Model 3 | Model 4 | Model 1 | Model 2 | Model 3 | Model 4 | |
| Clinical model | SOC | YFHS | YFHS+BI | YFHS+BI+CCT | SOC | YFHS | YFHS+BI | YFHS+BI+CCT |
| Personnel | ||||||||
| Research | Research assistant: Young (<29) female full-time staff responsible for all consenting, screening, enrolment and behavioural surveys (1/clinic) | Research assistant: Female full-time staff responsible for all consenting, screening, enrolment and behavioural surveys (1/clinic) | ||||||
| Outreach | Peer outreach workers: Young full-time lay staff responsible for recruitment and retention activities (2/clinic) | Peer outreach workers/navigators: Young full-time lay staff responsible for recruitment and retention activities (outreach roles). They also welcome participants, assess their SRH needs and help with clinical navigation (2/clinic) | Peer outreach workers: Temporary staff responsible for community outreach and recruitment at study initiation (2/clinic) | |||||
| Navigation | – | Peer navigator: Full-time staff who welcome participants, discuss SRH needs, fetch patient files and help with clinical navigation (1/clinic) | ||||||
| Family planning and STI services | – | Nurses: 4–5 government nurses from these sites were assigned to rotate through a youth-focused Girl Power clinic | – | Nurses: 1–3 government nurses provide SRH services to Girl Power participants | ||||
| HIV counselling and testing | – | Counsellor: 1 young female HIV counsellor was assigned to the Girl Power clinic | – | Counsellor: 1–3 government HTC counsellors are available to attend to Girl Power participants | ||||
| Workshop facilitation | – | – | Facilitators: Young women lead empowerment sessions (1/facility) | – | – | Facilitators: Women lead empowerment sessions (1/facility) | ||
| Training | ||||||||
| Protocol training | – | Study overview and design, clinical data collection, good clinical practice (3 days) (all staff) | Study overview and design, data collection, SRH refresher, values clarification (1–2 days) | |||||
| YFHS training | – | Medical and psychosocial support for adolescents (2 day) (all staff) | – | Medical and psychosocial support for adolescents (1 day) (all staff) | ||||
| Clinical training | – | Nurses trained on long-acting reversible contraception (5 days) and STI syndromic management (5 days) | All nurses expected to be familiar with these provision of all contraceptive methods and STI syndromic management. Provided on-the-job training | |||||
| Clinical modifications | ||||||||
| Space | – | Dedicated space for AGYW service delivery in a separate area from general clinic to ensure privacy from adults | – | Dedicated waiting and/or welcome area for AGYW | ||||
| Hours | Typically morning hours | AGYW can come in the morning or afternoon | AGYW can come in the morning or afternoon | |||||
| Cost | STI medications require payment | All services are free | All services are free | |||||
AGYW, adolescent girls and young women; BI, behavioural intervention; CCT, conditional cash transfer; HTC, HIV testing and counselling; SOC, standard of care; SRH, sexual and reproductive health; STI, sexually transmitted infection;YFHS, Youth-Friendly Health Services.