Table 1.

Comparison of aPS training components in Cameroon, Kenya and Mozambique

	Cameroon	Kenya	Mozambique
Training Structure	Three full days in‐class training	Three to four full days in‐class training	Five full days in‐class training followed by five full days clinic‐based training
Criteria for Trainees	Staff from HIV testing entry points at health facilities, including: Psychosocial workers Laboratory technicians Chaplains Nurses	Clinical and non‐clinical providers who provide HTS and PMTCT	Community health workers, counsellors, psychologists and MCH nurses
Criteria for Trainers	Service providers with interest and extended experience in aPS activities Require: Clinical degree or MPH/PhD or Diploma in programme administration or management	Service providers with experience in HTS and trained by members of national sub‐committee on aPS as trainers of trainers Require: Clinical degree HTS/PMTCT certificate from the Kenyan Ministry of Heath National AIDS and STI Control Programme	MoH facilitators previously trained by I‐TECH in collaboration with aPS point person at I‐TECH staff office Require: Clinical degree Familiarity with aPS protocol
Delivery strategies	Didactic lectures 50% Active learning (role‐play, group discussions and activities) 50%	Didactic lectures 40% Active learning (role‐play, group discussions and activities) 60%	Didactic lectures 40% Active learning (role‐play, group discussions and activities) 60%
On‐the‐job Mentorship	• Yes	• Yes	• Yes
Monitoring and Evaluation	Daily and final evaluations Pre and post‐training competency assessment In‐facility monitoring and evaluation	Final evaluation at the end of training Pre and post‐training competency assessment In‐facility monitoring and evaluation	Daily and final evaluations Pre and post‐training competency assessment In‐facility monitoring and evaluation
Refresher Training	Occurs two months after competing initial training 2‐day	Built into overall HTS refresher training 1‐day	None
IPV Screening and Monitoring Training	Screening includes: • Definition social harms and IPV • Screening strategies for physical, verbal and sexual IPV for each identified partner • In case of IPV risk, decision‐making on alternative partner notification strategies • Index IPV referrals Monitoring of index with moderate risk of IPV includes: • Home visit one week after aPS provision • Provision of individual or couple counselling and other referral services if necessary • Additional home visits on an as‐needed basis	Screening includes: Definition social harms and IPV Screening strategies for physical, verbal and sexual IPV for each identified partner In case of IPV risk, decision‐making on alternative partner notification strategies Index IPV referrals Monitoring of index with moderate risk of IPV includes: Home visit one week after aPS provision Provision of individual or couple counselling and other referral services if necessary Additional home visits on an as‐needed basis	Screening includes: Definition social harms and IPV Screening strategies for physical, verbal and sexual IPV for each identified partner In case of IPV risk, decision‐making on alternative partner notification strategies Index IPV referrals Monitoring of index with moderate risk of IPV includes: aPS staff ask questions and collect information about IPV adverse events at every follow‐up visit after partners are disclosed to Index IPV referrals are made as appropriate