Components of the different study visits.

<p>Components of the different study visits.</p

Site design and layout.

<p>(A) Schematic of specimen collection tent and toilets. Not to scale. Specimen collection tent: The area was divided into two separate zones; an anteroom (used for storage and a blood draw area), and a private specimen collection room. The second room had a privacy screen for intimate specimen collection. Toilets: The structures (compliant with IPC standards) were clearly identified for either participant use only or staff/visitor use only. At one site portable toilets were utilized and at the other, permanent structures were constructed. (B) Panoramic photograph of the specimen collection room compliant with IPC standards, Lungi Government Hospital site. A). Doffing area (defined with a permanent wooden screen once the site was operational), B). Assisted-collection area (tears, sweat swab, saliva (oral swab), C). Intimate specimen collection area (semen, vaginal/menstrual fluid swabs, rectal fluid swab, breast milk), 1). Hand-washing station, 2). Wipe-clean specimen collection trolley, 3). Privacy screen (which also displayed wipe-clean illustrative posters on specimen collection procedures), 4). Wipe-clean hospital bed, 5). Television set with DVD player, displayed on a wipe-clean table. Tarpaulin flooring used throughout. Photograph by Antoine Coursier. (C) Schematic of site layout and demarcation of work spaces for each staff position. 1). Consultation and coordination area. Reception area: This area was located at the entrance of the study site so the receptionist could greet the participants upon arrival. Waiting area: This area consists of chairs and a television. Community Liaison Officers used this space to informally speak with participants about study questions. Coordination area: Area used for storage of all paper documents (locked filing cabinets), study supervision and data entry. Consultation rooms: These provided audio and visual privacy. To maximize efficiency of participant flow, two rooms were used by nurses to obtain written informed consent and administer questionnaires; one was used for counselling sessions. 2). Specimen collection area. See Fig 1A for details. 3). Toilets. Water tanks supplied the site toilets which were connected to the hospital septic tank at MH34 site; and a purpose built septic tank at LGH site. (D) Photographs documenting the development of the second site at Lungi Government Hospital. (D-I) Separate Rubb Hall tents used for clinic and specimen collection areas. Photograph by Antoine Coursier. (D-II) Measures put in place to maximise privacy and to shield the site from the sun. Photograph by Antoine Coursier.</p