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. 2021 Feb 23;10(2):e21985. doi: 10.2196/21985

Table 1.

Assessment methods and outcomes for study indicators of effective HIV care and prevention.

Indicators of Assessment methods Baseline and cohort outcomes Sentinel event qualitative data
Effective HIV care
Linkage
  • Survey responses

  • Medical record abstractions

First care visit within 3 months, if unlinked Failure to have first visit in 3 months
Engagement and
retention
  • Survey responses

  • Medical record abstractions

  • Public health surveillance data

≥1 visit in 6-month window, if linked to care Failure to have ≥1 visit in 6 months
Adherence
  • Survey responses

  • Laboratory assessment of antiretroviral medication concentrations in blood

  • Medical record abstractions

No missed doses within previous week Missed ≥1 doses within previous week
Suppression
  • Survey responses

  • Medical record abstractions

  • Public health surveillance data

No detectable viral load in previous 6 months Loss of suppression among previously suppressed
Effective HIV prevention
Disclosure of HIV status to sexual partners
  • Survey responses

Aim 1: Disclosure to all new partners in previous 6 months
Aim 2: Disclosure to all current and new partners in previous 6 months
Previously diagnosed: Failing to disclose HIV status to a new partner before first anal intercourse
Newly diagnosed: Not having disclosed HIV status to all ongoing anal intercourse partners within 3 months
Condom use with susceptible sexual partners
  • Survey responses

Consistent and complete condom use with all HIV-negative or unknown anal intercourse partners in the previous 6 months, in light of preexposure prophylaxis use by partners and viral suppression status [25] Unprotected anal intercourse with a susceptible (HIV-negative or HIV-unknown status) partner