Table 1.

Process flow for the FPD and social franchise HTS

Item	Activity	FPD	Social franchise
1 Counsellor Recruitment and contracting	Contract	1. Employed by FPD 2. Normal employment contract 3. Normal payroll contract 4. Work for eight hours a day	1. Unemployed, self‐employed or employed elsewhere, not employed by FPD 2. Contracted by franchisee‐franchisor contract 3. No restriction on hours, days worked 4. Test ≥100 people per month 5. Test >/5 HIV + tests per month 6. Link ≥4 HIV + clients per month
	Remuneration	1. Fixed monthly salary	1. Paid $3.20 per HIV test 2. Paid $8 per HIV + client linked
	Training	Training focused on: 1. Pre‐test, test, post‐test, documentation, referral and linkage to care	Training focused on: 1. Pre‐test, test, post‐test, documentation, referral and linkage to care 2. Business development and management
2 Mobilization	Community level mobilization	Community events; flyers; campaigns (e.g. couples counselling); conducting systematic door‐to‐door mobilization campaigns distributing flyers, and condoms	Community events; flyers; campaigns (e.g. couples counselling); conducting systematic door‐to‐door mobilization campaigns distributing flyers, and condoms
	Individual level mobilization	Informing households on the benefits and availability of testing for HIV; scheduling household level testing appointments and/or actively recruiting clients for same‐day HTS	Informing households on the benefits and availability of testing for HIV; scheduling household level testing appointments and/or actively recruiting clients for same‐day HTS
3 Documentation	Questionnaire and database	Questionnaire interview on: 1. Demographic characteristics 2. HIV testing history 3. HIV test results 4. Referral 5. Linkage results 6.(bi)monthly, quarterly, annual reports	Questionnaire interview on: 1. Demographic characteristics 2. HIV testing history 3. HIV test results 4. Referral 5. Linkage results 6. (bi)monthly, quarterly, annual reports
	Payment	Paid per normal payroll	Monthly payment claims to franchisor
4 Basic package of services	Pre‐test	1. Information and education 2. Screening 3. Condom education and distribution	1. Information and education 2. Screening 3. Condom education and distribution
	Test	1. Informed consent 2. HIV testing using national algorithm	1. Informed consent 2. HIV testing using national algorithm
	Post‐test	1. Tailor‐made counselling based on test result(s) and life situation 2. Referral for psychosocial support 3. Referral for HIV treatment and care 4. Development of tailored linkage plans and timelines looking at individual barriers and concerns 5. If negative: risk reduction counselling, appropriate HIV prevention services	1. Tailor‐made counselling based on test result(s) and life situation 2. Referral for psychosocial support 3. Referral for HIV treatment and care 4. Development of tailored linkage plans and timelines looking at individual barriers and concerns 5. If negative: risk reduction counselling, appropriate HIV prevention services
5 Follow‐up	Referral to HIV care and treatment	Discuss referral health facility	Discuss referral facility
	Linkage and service update	Actively follow‐up to verify and document linkage	Actively follow up to verify and document linkage

FPD, Foundation for Professional Development; HTS, HIV testing services.