Figure 1.

Illustration of the comprehensive intervention package of services implemented at all 139 sites. The capacity building element for HCF providers included training by nationally approved trainers on the new national HIV testing algorithm, and training by program staff on the new program-specific tools, including an adolescent-focused HIV risk screening tool, as well as individual-level follow-up mentorship and supervision. Second, newly developed program-specific tools, which collected data stratified by sex, age, and entry point, were introduced at HIV testing service points in the HCFs. Third, a newly developed, adolescent-focused HIV screening tool designed to identify eligibility for HIV testing, including assessment of HIV risk, among adolescents aged 10–19 years was implemented. Finally, extended evening (5–7 pm) and/or weekend hours (Saturdays and Sundays) were implemented at most HCFs to accommodate adolescents. In some high-volume HCFs (those with >2000 outpatient clients per month and multiple entry points), additional HIV testing service providers were allocated including linkage officers and triage staff.