Table 2.

Adapted spirit diagram for PrIYA-SP trial

Time point	Enrolment	Baseline	Trial implementation
	Month 0	Months 0–6	Months 6–9	Months 9–12	Months 12–15	Months 15–18
Enrolment
Eligibility screen	X
Informed consent	X
Allocation			X
Intervention
Clinical training intervention (intervention arm only)			X	X
Assessments
Facility manager survey Respondent characteristics HIV prevention training HIV prevention/care guidelines PrEP for adolescents and young adults PrEP registry data collection		X
Healthcare worker survey Demographics and training history Beliefs about AGYW and PrEP Beliefs about HIV Self-rated competency in PrEP delivery to AGYW Knowledge of PrEP services		X			X	X
SP unannounced visit checklist PrEP guidelines adherence Communication skills		X			X	X
SP training encounter checklist PrEP guidelines adherence Communication skills Interpersonal skills			X	X

AGYW, adolescent girls and young women; PrEP, pre-exposure prophylaxis; PrIYA, PrEP Implementation for Young Women and Adolescents Program; SP, standardised patient actor.