Table 3.
Peer navigator characteristics, conditions and development
| Study | Peer characteristics | Pay and conditions | Training and development | Management and supervision |
|---|---|---|---|---|
| Adams, Judith. 2020 (27). | PLHIV | Employed. Pay and hours not reported. | Brief description of on-job training. | Not Reported. |
| Cabral H, 2018 (28). | PLHIV; racial or ethnic background; clinic patient. | Employed. Hours or pay not reported. | Brief on-job training clarifying expected role and duties. Monthly calls providing additional training. | Clinical supervision in individual and/or group settings monthly in addition to monthly calls for support with client work. |
| Cataldo F, 2017 (29); Hosseinipour M, 2017 (36); Phiri S, 2017 (45). | Mothers; PLHIV; clinic patients. | Monthly stipend of US$65 for part-time work. | 2-week on-job training on patient education and psychosocial topics. | Twice-yearly refresher trainings and monthly supervision to support client work. |
| Chang LW, 2015 (30); Monroe A, 2017 (41). | Clinic patients; PLHIV. | Paid a monthly stipend of US$10 plus transport expenses for part-time work. | Detailed description of two-day residential training on role-relevant skills and knowledge. | Supervision from study coordinators who regularly conducted field-based skills reinforcement trainings. |
| Chevrier C, 2016 (31). | Sex workers; PLHIV. | Volunteer. Services are organised with no regular source of funding. | Not reported. | Not reported. |
| Cunningham W, 2018 (32). | PLHIV; ethnic or racial background; gender; drug use Incarceration | Employed on full-time salaries with benefits. Pay not reported. | Completed training prior to field work, using a detailed manual of operations. | Daily monitoring, weekly supervision, and periodic auditing of records. |
|
Giordano TP, 2016 (33). Minick SG, 2018 (42). |
PLHIV; clinic patients | Volunteer. | Experience in previous mentor position and training on intervention delivery at 2-day workshop. | Periodic fidelity assessments and checklists to guide content delivery. |
| Graham SM, 2015 (34). | PLHIV; MSM. | Volunteer. Stipends, meals and transport reimbursement were provided. | 2 years treatment experience and able to communicate in English or Kiswahili. Brief description of training on role-specific skills and knowledge, conducted over 2 days. | Didactic material and interactive exercises guided delivery. No other information reported. |
| Griffith D, 2019 (35). | Young adult. | Not reported. | Not reported. | Navigators were part of an interdisciplinary care team. No other information reported. |
| Karwa R, 2017 (37). | PLHIV; hospital patient. | Employed. Pay and hours not reported. | Participation in a previous study, in which they received training and a year of treatment and adherence counselling experience. Description of 1 week additional and ongoing training on role-specific skills and knowledge provided. | Navigators formed part of an interdisciplinary care team. No other information reported. |
| Koneru A, 2017 (38). | PLHIV; cervical cancer survivor. | N/A | N/A | N/A |
| Lifson AR, 2017 (39). | PLHIV. | Monthly stipend of 700 Ethiopian birr (US$37). Hours not reported. | Brief description of initial and refresher training role-relevant skills and knowledge. | Individual supervision from a project coordinator. The community health support workers s met as a group monthly to discuss problems, potential strategies, and lessons learned from client work. |
| Maulsby C, 2015 (40). | Not reported. | Not reported. | Not reported. | Not reported. |
| Myers JJ, 2018 (43). | PLHIV; drug use; incarceration. | Employed at part time/casual hours (10–12) across 2 days per week. Pay not reported. | Brief description of trainings provided for role-relevant skills and knowledge. | Ongoing support and clinical supervision. |
|
Odiachi A, 2020 (44). Sam-Agudu NA, 2017 (50). Sam-Agudu NA, 2017 (51). Sam-Agudu NA, 2018 (52). |
Mothers; PLHIV. | Monthly stipend of US$50 with flexible working hours. | Required to read and write basic English. Detailed description of training provided on scope of duties and role-relevant skills and knowledge. | Ongoing supervision reinforcing training was provided. |
| Pitpitan E V, 2020 (46). | PLHIV (non-exclusive); drug use; sex work; MSM; trans experience; gender | N/A | N/A | N/A |
| Ryerson Espino SL (47) | PLHIV; gender; ethnic or racial background. | A mixture of part-time, stipend and full-time positions across sites. Advice about pay and conditions reported in findings. | An extensive description of training available to peer staff across sites is provided, including role-specific knowledge and skills, general health, social service and employment training. | A detailed description is provided of strategies across sites including weekly individual supervision, refresher training, emotional support and debriefing for client work, cross-support from peers, and peer leadership. |
|
Reback CJ, 2019 (48). Reback CJ, 2019 (49). |
PLHIV; trans experience; gender; ethnic or racial background | Not reported. | Detailed description of initial and ongoing training provided on role-relevant skills and knowledge. | Semi-monthly clinical supervision and annual refresher training on skills for client work and monitoring of medical care and records. |
| Steward WT, 2018 (53). | PLHIV; gender | A small stipend. Workload was managed by limiting 10 clients to each navigator. | Brief description of one-week training on role-specific skills and knowledge. Ongoing training augmented skills or addressed observed deficiencies. | Weekly supervision and biweekly meetings with study team to monitor fidelity and support client work. |
|
Legend PLHIV = people living with HIV MSM = men who have sex with men. | ||||