HIV Clinical Trial
Official title:
An Evaluation of Strategies to Increase Testing and Linkages of HIV Positive Individuals to Care and HIV Negative Men to Male Circumcision in Sub-Saharan Africa
The purpose of this study is to determine efficient, scalable, evidence-based strategies to link HIV positive individuals to care and HIV negative individuals to prevention measures, such as voluntary male circumcision.
New strategies for HIV testing and linkages to care are needed, since only a minority of
African adults have been tested in many settings and a drop-off occurs at each step from HIV
and CD4 testing, remaining in pre-ART (antiretroviral therapy) care, ART initiation, and
adherence over the long term.
This study aims to determine the effects of Point-of-Care (POC) CD4 testing, POC viral load
(VL) testing and several linkage strategies (lay-counselor follow-up, accompaniment to HIV
clinic by lay counselor, or clinical referral) on linkage to care and treatment adherence
for HIV positive persons.
This study also aims to determine the uptake of voluntary circumcision among HIV uninfected
males with either promotion at point of HIV testing, Short Message Service (SMS) follow-up
or lay counselor follow-up visits.
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Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label
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