Objective 1: Using the information gathered from structured observations and changes in WASH knowledge, revise methods and approaches used to deliver the WASH intervention.
Strategy 1: Shadow ZEHRP staff to gain an understanding of current clinic practices and become familiar with clinic flow.
Strategy 2: Work closely with ZEHRP staff to identify places where the checklist and pooling strategy can be integrated with existing clinic processes to optimize clinic flow.
Strategy 3: Work with reception staff to coordinate the creation of queries and reports in Microsoft Access to best fit their needs and streamline checklist completion.
Objective 2: Validate the use of the diagnostic screening checklist for GeneXpert specimen pooling.
Strategy 1: Use the checklist to determine composite risk scores for HRW at enrollment and record CT/NG test results.
Strategy 2: Calculate the prevalence of CT/NG for each risk category and compare the results to those obtained from the retrospective IVP data.
Strategy 3: Perform comparison analyses using statistical software.
Objective 3: Determine the long-term application and feasibility of the diagnostic screening checklist.
Strategy 1: Apply the checklist at follow-up visits to determine if individual risk scores at enrollment and follow-up significantly differ.
Strategy 2: Use results to assess how often the checklist should be applied, which women to retest, and how previous CT/NG results should influence the decision to re-test.
Strategy 3: Work with the medical staff to create a set of guidelines and recommendations for future checklist application.