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Table 2 Considerations for further "V" material adaptations based on early implementation

From: Early implementation learnings on acceptability and feasibility of “V”: a multi-level PrEP intervention designed with and for adolescent girls and young women in Zimbabwe

Materials

What

How to adapt

Comments

Makeup bag

Color

Consider multiple assorted bag colors

This is essential to minimize risk of stigma or unwanted disclosure

Educational pamphlet

Size

Reduce the size from A4 to A6 or Business Card Size

The A4 pamphlet attracts unwanted attention and needs to be resized to fit in a bag or pocket without having to fold it

FAQ booklet

Contact details

Include contact details for facilities offering PrEP and other support

The FAQ must include contact information (e.g., WhatsApp numbers) for support and PrEP service availability

Pill box

 

Consider excluding pill box from full implementation

The text on the pill box facilitated unwanted disclosure and defeats the purpose of discreet intent

Reminder sticker

Timing

Consider distribution frequency

With multi-month refills, some AGYW indicate wanting multiple stickers for each pill bottle. Note that although V did not promote use of stickers to cover the pill bottle, many AGYW used it for that purpose

HCW Manual

Content

Incorporate new PrEP guidelines as needed

Continue updating with new information to ensure content remains current (as needed)

HCW Flipchart

No adaptations

No adaptations

Difficult to use the flip chart in the context of social distancing measures

BA Toolkit

No adaptations

No adaptations

Essential for training purposes and as a reference source

Pill case

No adaptations

No adaptations

No adaptations

Posters

No adaptations

No adaptations

No adaptations

T-Shirts

No adaptations

No adaptations

No adaptations