HIV Clinical Trial
Official title:
Home Assessment and Initiation of ART: a Cluster-randomised Trial in Blantyre, Malawi
Despite increasing availability of antiretroviral therapy (ART) for HIV in high prevalence
countries, the majority of people with HIV infection still initiate treatment at an advanced
stage of disease. This leads to a high risk of death soon after HIV diagnosis. Prompt HIV
diagnosis is, therefore, necessary for both individual and public health benefit and is
being strongly promoted as international and national policy in Malawi. However timely HIV
diagnosis may not in itself be sufficient to ensure ART initiation: this is reflected by the
relatively high proportion of individuals who defer treatment-seeking for months or years
following diagnosis of HIV.
Here the researchers investigate the extent to which home assessment and initiation of ART
adds to the effectiveness of a home-based HIV testing and counseling strategy, using entry
to, adherence with, and retention in HIV care as the outcome of interest.
n/a
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Health Services Research
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