Table 2

Outcome of the cRCT: PrEP/ART linkage rate

A: Primary outcome: intention to treat analysis among women aged 18–24
Number of clients linkedGeometric mean linkage per peer navigator month of working (/pnm)Rate ratio (95% CI)P value*K†
Incentivise peer navigation260.540.68 (0.28 to 1.66)0.40‡0.69
Peer navigation direct450.801.01
Incentivise peer navigation260.540.64 (0.26 to 1.62)0.30§0.69
Standard of care490.850.96
Peer navigation direct450.800.95 (0.38 to 2.36)0.90¶1.01
Standard of care490.850.96
B: Primary outcome: per protocol analysis of linkage among women aged 18–24, accounting for difference in hours spent distributing referral packs by arm
Number of clients linkedGeometric mean linkage per 100 hours of peer navigator (/100pnh)Rate ratio (95% CI)P value*K†
Incentivise peer navigation260.401.93 (0.95 to 3.89)0.071.31
Peer navigation direct450.210.20
Incentivise peer navigation260.401.66 (0.75 to 3.69)0.191.31
Standard of care490.240.66
Peer navigation direct450.210.86 (0.43 to 1.74)0.660.20
Standard of care490.240.66
C: Linkage rate among men and women aged 18–30 per peer navigator month of work (ITT)
Number of clients linkedGeometric mean linkage rate (/pnm)Rate ratioP value*K†
Incentivise peer navigation500.880.42 (0.18 to 0.98)0.040.74
Peer navigation direct1112.110.62
Incentivise peer navigation500.880.42 (0.18 to 1.02)0.060.74
Standard of care1112.070.59
Peer navigation direct1112.111.02 (0.52 to 2.01)0.950.62
Standard of care1112.070.59
D: Linkage rate among all men and women aged 18–30 per 100 referral packs distributed
Number of clients linkedGeometric mean linkage rate (/100 referrals)Rate ratioP value*K†
Incentivise peer navigation503.230.44 (0.21 to 0.92)0.030.76
Peer navigation direct1117.360.60
Incentivise peer navigation503.230.34 (0.14 to 0.78)0.010.76
Standard of care1119.620.95
Peer navigation direct1117.360.76 (0.35 to 1.680.480.60
Standard of care1119.620.95
  • *P-values calculated from a t-test with a pairwise comparison of the log-transformed cluster-level means.39

  • †k=intercluster coefficient of variation.

  • ‡Permutation p value 0.33.

  • §Permutation p value 0.28.

  • ¶Permutation p value 0.89.

  • ART, antiretroviral therapy; cRCT, cluster-randomised controlled trial; ITT, intention-to-treat; PrEP, pre-exposure prophylaxis.