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Sponsor: University of California, Berkeley
Conditions: HIV (Human Immunodeficiency Virus)
Interventions: PKC (adapted adherence counseling) and Conditional Cash Transfers
Countries: Tanzania
This protocol describes an individually randomized trial that will include adult people living with HIV (PLHIV) currently receiving HIV care at one of two participating health facilities and identified as high risk for disengagement from care by a machine learning algorithm. Participants randomized to the control arm will receive standard of care HIV clinical services according to Tanzania's National Guidelines for the management of HIV. For those who meet clinic eligibility criteria for enhanced adherence counseling, which at the included study sites is when client's viral load reaches a detectable level (\>1000 copies/ml), this includes the standard provision of three, once-monthly, 60-minute nurse-led individual, enhanced adherence counseling sessions, starting on the day of the result and for two months after. Intervention arm participants will receive the same standard HIV care services plus the offer of a cash transfer paired with visit attendance and attendance at each of the three adapted enhanced adherence counseling sessions (referred to as PKC sessions).
Sex: ALL
Age: 18 Years to —
Healthy volunteers: No
Study type: INTERVENTIONAL
Inclusion Criteria: 1. PLHIV on ART; 2. Age 18 years or older; 3. Phone ownership OR consistent phone access; 4. Not already enrolled in/currently attending enhanced adherence counseling sessions at the facility 5. Living in Geita Region and intends to receive care at a study facility for the next 12 months; 6. Classified as "high-risk" for loss to follow-up (LTFU) from HIV care, and 7. Provides written informed consent for participation
- Geita, Tanzania
- Geita, Tanzania
- Geita, Tanzania
- Katoro, Tanzania