Table 2. Indicators of adoption, fidelity, and proposed success endpoints [51].
Indicators of adoption and fidelity | Indicator measure | Data source | Success endpoints | |
---|---|---|---|---|
Adoption | Testing uptake and synergy into HIV programme | % of pregnant women tested for syphilis, malaria and anaemia by POCTs; unchanged or improved % of women tested for HIV | ANC register | ≥ 90% tested; ≥0% change in HIV testing rates |
Fidelity | Clinical management | % of pregnant women who receive appropriate: a) preventive care b) correct management for test positive cases |
Exit interviews | ≥90% received |
Information giving | % of pregnant women who were given: a) information about the four tests b) test results c) HIV counselling d) syphilis partner notification advice |
Exit interviews | ≥90% given/counselled/advised | |
Health worker proficiency of POCT | Proficiency scores measuring the ability of the health care worker to correctly perform rapid diagnostic tests per manufacturer guidelines | Proficiency scores (%) | ≥90% on check-list |
POCTs: point-of-care tests; POCT: point-of-care testing; ANC: antenatal care