Lessons learned from implementation of four HIV self-testing (HIVST) distribution models in Zambia: applying the Consolidated Framework for Implementation Research to understand impact of contextual factors on implementation

Table 1 Timing and location of HIVST distribution models

Distribution model	Distribution method	Location	Distribution period	Evaluation period
Model 1: Secondary distribution (one ANC clinic)	Pregnant woman given 1 HIVST kit to deliver to primary male partner	Lusaka	June 2018-Dec 2019	November 2018—July 2019
Model 2: Secondary distribution (one ART clinic)	Individual with HIV given 1 HIVST kit to deliver to a partner	Lusaka	June 2018-Dec 2019	November 2018—July 2019
Model 3: Community-led	Individual given 1 HIVST kit by shop owner	Lusaka	June 2018-Dec 2019	November 2018—July 2019
Model 4: Workplace distribution- phase 1 +	Worker given 1 HIVST kit by a workplace champion (optional: 2 kits for self and partner)	Lusaka, government, institutions	June 2018-Dec 2019	November 2018 – July 2019
Model 4: Workplace distribution- phase 1 +		Lusaka, private institutions	June 2018-Dec 2019	November 2018 – July 2019
Model 4: Workplace distribution- phase 2 +	Worker given 1 HIVST kit by a workplace champion (optional: 2 kits for self and partner)	Copperbelt, Mine (1)	Sept – Dec 2019^a	September–October, 2019
Model 4: Workplace distribution- phase 2 +		Lusaka, manufacturing company (1)	July – Dec 2019^a	February–March, 2020

^aDistribution continued beyond this date. + Phase 1 distribution was done in Lusaka only in both government and private institutions, while phase 2 was done in both Lusaka and Copperbelt in a manufacturing company and mine respectively

ISSN: 1471-2334