Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: Maximizing Adherence and Retention for Women and Infants in the Context of Option B+
Brief Summary: This is a 2x2 factorial cluster randomized trial of two interventions to improve retention and adherence for women and infants on Option B+. The overall goal is to determine which intervention (or combination of interventions) maximizes antiretroviral therapy (ART) adherence and retention in care in the context of Option B+ and thus improves maternal and infant health outcomes.The proposed study will be conducted in rural Nyanza Province, Kenya at 20 low-resource primary health care facilities and associated communities supported by Family AIDS Care and Education Services (FACES), a President's Emergency Plan for AIDS Relief (PEPFAR)-funded HIV prevention care, and treatment program, ((AIDS) acquired immune deficiency syndrome, (HIV) human immunodeficiency virus) . The investigators will assess both process and outcome indicators using a 2x2 factorial design, in which equal numbers of clusters will be randomized to one of the interventions (community-based mentor mothers or theory-based mobile text messages), both interventions, or standard of care. The interventions will be added to fully integrated high quality HIV and antenatal, maternal, neonatal, and child health (ANC/MNCH) services already offered at these sites.


Options:
A: Arm Label: SmartMoms-Clinic; Type: EXPERIMENTAL; Interventions: Behavioral: SmartMoms | Arm Label: SmartMoms-Phone; Type: EXPERIMENTAL; Interventions: Behavioral: SmartMoms | Arm Label: Physician Directed; Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: BEHAVIORAL; Name: SmartMoms; Assigned to Arm(s): SmartMoms-Clinic, SmartMoms-Phone
B: Arm Label: Usual Care; Type: NO_INTERVENTION; Interventions: N/A | Arm Label: Reminders; Type: EXPERIMENTAL; Interventions: Behavioral: Reminders | Intervention Type: BEHAVIORAL; Name: Reminders; Assigned to Arm(s): Reminders
C: Arm Label: Control; Type: NO_INTERVENTION; Interventions: N/A | Arm Label: Simple Intervention; Type: EXPERIMENTAL; Interventions: Other: HIV testing commodity reinforcement, Other: Policy reinforcement meeting | Arm Label: Comprehensive Intervention; Type: EXPERIMENTAL; Interventions: Other: HIV testing commodity reinforcement, Other: Policy reinforcement meeting, Other: Opt-out HIV testing for mothers and newborns, Other: Operational support for service integration, Other: Community sensitization | Intervention Type: OTHER; Name: HIV testing commodity reinforcement; Assigned to Arm(s): Comprehensive Intervention, Simple Intervention | Intervention Type: OTHER; Name: Policy reinforcement meeting; Assigned to Arm(s): Comprehensive Intervention, Simple Intervention | Intervention Type: OTHER; Name: Opt-out HIV testing for mothers and newborns; Assigned to Arm(s): Comprehensive Intervention | Intervention Type: OTHER; Name: Operational support for service integration; Assigned to Arm(s): Comprehensive Intervention | Intervention Type: OTHER; Name: Community sensitization; Assigned to Arm(s): Comprehensive Intervention
D: Arm Label: cMM and Text Messaging; Type: OTHER; Interventions: Behavioral: cMM, Behavioral: Text Messaging | Arm Label: cMM Only; Type: OTHER; Interventions: Behavioral: cMM | Arm Label: Text Messaging Only; Type: OTHER; Interventions: Behavioral: Text Messaging | Arm Label: Neither cMM nor Text Messaging; Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: BEHAVIORAL; Name: cMM; Assigned to Arm(s): cMM Only, cMM and Text Messaging | Intervention Type: BEHAVIORAL; Name: Text Messaging; Assigned to Arm(s): Text Messaging Only, cMM and Text Messaging

Answer: D