Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: The "START" (a Streamlined ART Initiation Strategy) Study
Brief Summary: START is clinic-level (not individual-patient) intervention to catalyze the process of ART initiation among HIV-infected adults who meet CD4-based criteria for combination ART (e.g., adults with a CD4 T cell level \< 350/ul). The three START components are: (1) real-time point-of-care CD4 testing using the Alere PIMA platform to ascertain treatment eligibility in real time at first presentation to care, (2) targeted knowledge transfer (i.e., dissemination) of recent scientific evidence regarding effects rapid ART initiation on survival to front line health care workers; and 3) feedback and reporting to clinic and providers. There three components represent empirically validated steps in the PRECEED implementation model.


Options:
A: Arm Label: Standard group, non-pregnant adults; Type: NO_INTERVENTION; Interventions: N/A | Arm Label: Standard group, pregnant women; Type: NO_INTERVENTION; Interventions: N/A | Arm Label: Rapid group, non-pregnant adults; Type: EXPERIMENTAL; Interventions: Other: Rapid ART initiation | Arm Label: Rapid group, pregnant women; Type: EXPERIMENTAL; Interventions: Other: Rapid ART initiation | Intervention Type: OTHER; Name: Rapid ART initiation; Assigned to Arm(s): Rapid group, non-pregnant adults, Rapid group, pregnant women
B: Arm Label: Combination intervention + incentives; Type: EXPERIMENTAL; Interventions: Other: Point of care CD4+ after HIV diagnosis, Other: Accelerated ART initiation, Behavioral: SMS appointment reminders, Other: Non-cash Financial Incentives | Arm Label: Combination intervention strategy(CIS); Type: EXPERIMENTAL; Interventions: Other: Point of care CD4+ after HIV diagnosis, Other: Accelerated ART initiation, Behavioral: SMS appointment reminders | Arm Label: Standard of care (SOC); Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: OTHER; Name: Point of care CD4+ after HIV diagnosis; Assigned to Arm(s): Combination intervention + incentives, Combination intervention strategy(CIS) | Intervention Type: OTHER; Name: Accelerated ART initiation; Assigned to Arm(s): Combination intervention + incentives, Combination intervention strategy(CIS) | Intervention Type: BEHAVIORAL; Name: SMS appointment reminders; Assigned to Arm(s): Combination intervention + incentives, Combination intervention strategy(CIS) | Intervention Type: OTHER; Name: Non-cash Financial Incentives; Assigned to Arm(s): Combination intervention + incentives
C: Arm Label: MJAP Clinics Intervention; Type: EXPERIMENTAL; Interventions: Behavioral: START | Arm Label: MJAP Clinics Pre-Intervention; Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: BEHAVIORAL; Name: START; Assigned to Arm(s): MJAP Clinics Intervention
D: Arm Label: Standard of care; Type: ACTIVE_COMPARATOR; Interventions: Other: Standard of care | Arm Label: Same-day ART initiation with less frequent follow-up visits; Type: EXPERIMENTAL; Interventions: Other: Same-day ART initiation | Intervention Type: OTHER; Name: Same-day ART initiation; Assigned to Arm(s): Same-day ART initiation with less frequent follow-up visits | Intervention Type: OTHER; Name: Standard of care; Assigned to Arm(s): Standard of care

Answer: C