Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: LINK4HEALTH: A Combination Approach to Linkage and Retention for HIV (Human Immunodeficiency Virus) Infected Individuals in Swaziland
Brief Summary: Despite increased HIV (Human Immunodeficiency Virus) infection testing in Africa, many patients never enroll in subsequent HIV care after testing or remain in care after an initial enrollment. This study's aim is to improve linkage to HIV care and retention in HIV care through the use of feasible, evidence-based, and practical interventions. The study takes place in Swaziland, the country with the highest HIV prevalence (24%) in sub-Saharan Africa. The study will randomize groups of HIV testing sites and affiliated clinics to either standard of care or a combined intervention strategy (CIS) which consists of point-of care CD4 (cluster differentiation 4 (CD4)) testing at time of HIV testing, fast-track HIV medications for those who are eligible for treatment,mobile phone appointment reminders, care bags filled with health prevention materials, and financial incentives. The study outcomes are linkage to and retention in care as well as cost effectiveness, feasibility of interventions, and patient acceptability of interventions.


Options:
A: Intervention Type: DRUG; Name: Emtricitabine/tenofovir disoproxil fumarate; Assigned to Arm(s): N/A | Intervention Type: DRUG; Name: Lopinavir/ritonavir; Assigned to Arm(s): N/A | Intervention Type: DRUG; Name: Stavudine; Assigned to Arm(s): N/A
B: Arm Label: Standard of Care; Type: NO_INTERVENTION; Interventions: N/A | Arm Label: Combined Intervention Strategy; Type: EXPERIMENTAL; Interventions: Procedure: POC (point-of-care) CD4+ (cluster of differentiation 4) Count, Procedure: Accelerated ART (antiretroviral therapy) Initiation, Behavioral: Basic Care and Prevention Package, Behavioral: Cellular Appointment Reminders and Follow-Up, Other: Financial Incentive | Intervention Type: PROCEDURE; Name: POC (point-of-care) CD4+ (cluster of differentiation 4) Count; Assigned to Arm(s): Combined Intervention Strategy | Intervention Type: PROCEDURE; Name: Accelerated ART (antiretroviral therapy) Initiation; Assigned to Arm(s): Combined Intervention Strategy | Intervention Type: BEHAVIORAL; Name: Basic Care and Prevention Package; Assigned to Arm(s): Combined Intervention Strategy | Intervention Type: BEHAVIORAL; Name: Cellular Appointment Reminders and Follow-Up; Assigned to Arm(s): Combined Intervention Strategy | Intervention Type: OTHER; Name: Financial Incentive; Assigned to Arm(s): Combined Intervention Strategy
C: Arm Label: Early antiretroviral therapy; Type: EXPERIMENTAL; Interventions: Other: Early antiretroviral therapy | Arm Label: Standard antiretroviral therapy; Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: OTHER; Name: Early antiretroviral therapy; Assigned to Arm(s): Early antiretroviral therapy
D: Arm Label: One4All; Type: EXPERIMENTAL; Interventions: Behavioral: One4All | Arm Label: Standard of Care; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Standard of Care | Intervention Type: BEHAVIORAL; Name: One4All; Assigned to Arm(s): One4All | Intervention Type: BEHAVIORAL; Name: Standard of Care; Assigned to Arm(s): Standard of Care

Answer: B