Study: NCT05165810

Intervention type: BEHAVIORAL
Group type: EXPERIMENTAL
Intervention: Same-day ART initiation [experimental]
Description: Participants assigned to same-day ART initiation will be offered standard, first-line ART on the day of trial enrollment. Participants, will be provided with focused counseling and instructions on where to follow-up for ongoing HIV care (either community-based HIV care or government-based HIV care, depending on randomization).

Intervention type: BEHAVIORAL
Group type: EXPERIMENTAL
Intervention: Same-day ART initiation [experimental]
Description: Participants assigned to same-day ART initiation will be offered standard, first-line ART on the day of trial enrollment. Participants, will be provided with focused counseling and instructions on where to follow-up for ongoing HIV care (either community-based HIV care or government-based HIV care, depending on randomization).

Intervention type: BEHAVIORAL
Group type: EXPERIMENTAL
Intervention: Same-day ART initiation [experimental]
Description: Participants assigned to same-day ART initiation will be offered standard, first-line ART on the day of trial enrollment. Participants, will be provided with focused counseling and instructions on where to follow-up for ongoing HIV care (either community-based HIV care or government-based HIV care, depending on randomization).

Intervention type: BEHAVIORAL
Group type: EXPERIMENTAL
Intervention: Same-day ART initiation [experimental]
Description: Participants assigned to same-day ART initiation will be offered standard, first-line ART on the day of trial enrollment. Participants, will be provided with focused counseling and instructions on where to follow-up for ongoing HIV care (either community-based HIV care or government-based HIV care, depending on randomization).

Intervention type: BEHAVIORAL
Group type: ACTIVE_COMPARATOR
Intervention: Standard ART initiation [usual care]
Description: Participants randomized to standard ART initiation will not initiate ART on the day of trial enrollment, but only after linking to their assigned source of HIV care (either community-based HIV care or government-based HIV care, depending on randomization). In standard ART initiation, patients typically, complete an intake visit at the HIV clinic, with baseline laboratory testing, and return to the clinic approximately 2 weeks later to begin ART.

Intervention type: BEHAVIORAL
Group type: EXPERIMENTAL
Intervention: Standard ART initiation [usual care]
Description: Participants randomized to standard ART initiation will not initiate ART on the day of trial enrollment, but only after linking to their assigned source of HIV care (either community-based HIV care or government-based HIV care, depending on randomization). In standard ART initiation, patients typically, complete an intake visit at the HIV clinic, with baseline laboratory testing, and return to the clinic approximately 2 weeks later to begin ART.

Intervention type: BEHAVIORAL
Group type: EXPERIMENTAL
Intervention: Standard ART initiation [usual care]
Description: Participants randomized to standard ART initiation will not initiate ART on the day of trial enrollment, but only after linking to their assigned source of HIV care (either community-based HIV care or government-based HIV care, depending on randomization). In standard ART initiation, patients typically, complete an intake visit at the HIV clinic, with baseline laboratory testing, and return to the clinic approximately 2 weeks later to begin ART.

Intervention type: BEHAVIORAL
Group type: EXPERIMENTAL
Intervention: Standard ART initiation [usual care]
Description: Participants randomized to standard ART initiation will not initiate ART on the day of trial enrollment, but only after linking to their assigned source of HIV care (either community-based HIV care or government-based HIV care, depending on randomization). In standard ART initiation, patients typically, complete an intake visit at the HIV clinic, with baseline laboratory testing, and return to the clinic approximately 2 weeks later to begin ART.

Intervention type: OTHER
Group type: EXPERIMENTAL
Intervention: Community-based HIV care [experimental]
Description: Participants randomized to community-based HIV care will be referred to PWID-focused integrated care centers (ICCs) for ongoing HIV clinical management - a prototype of decentralized HIV care in India. ICCs will provide free HIV care that will adhere closely to Indian HIV treatment guidelines and, when relevant, to local HIV treatment standards.

Intervention type: OTHER
Group type: EXPERIMENTAL
Intervention: Community-based HIV care [experimental]
Description: Participants randomized to community-based HIV care will be referred to PWID-focused integrated care centers (ICCs) for ongoing HIV clinical management - a prototype of decentralized HIV care in India. ICCs will provide free HIV care that will adhere closely to Indian HIV treatment guidelines and, when relevant, to local HIV treatment standards.

Intervention type: OTHER
Group type: EXPERIMENTAL
Intervention: Community-based HIV care [experimental]
Description: Participants randomized to community-based HIV care will be referred to PWID-focused integrated care centers (ICCs) for ongoing HIV clinical management - a prototype of decentralized HIV care in India. ICCs will provide free HIV care that will adhere closely to Indian HIV treatment guidelines and, when relevant, to local HIV treatment standards.

Intervention type: OTHER
Group type: EXPERIMENTAL
Intervention: Community-based HIV care [experimental]
Description: Participants randomized to community-based HIV care will be referred to PWID-focused integrated care centers (ICCs) for ongoing HIV clinical management - a prototype of decentralized HIV care in India. ICCs will provide free HIV care that will adhere closely to Indian HIV treatment guidelines and, when relevant, to local HIV treatment standards.

Intervention type: OTHER
Group type: ACTIVE_COMPARATOR
Intervention: Government-based HIV care [usual care]
Description: Participants randomized to government-based HIV care will be referred to government-based HIV clinics for ongoing HIV clinical management. Government-based clinics provide free HIV care that adheres closely to Indian HIV treatment guidelines

Intervention type: OTHER
Group type: EXPERIMENTAL
Intervention: Government-based HIV care [usual care]
Description: Participants randomized to government-based HIV care will be referred to government-based HIV clinics for ongoing HIV clinical management. Government-based clinics provide free HIV care that adheres closely to Indian HIV treatment guidelines

Intervention type: OTHER
Group type: EXPERIMENTAL
Intervention: Government-based HIV care [usual care]
Description: Participants randomized to government-based HIV care will be referred to government-based HIV clinics for ongoing HIV clinical management. Government-based clinics provide free HIV care that adheres closely to Indian HIV treatment guidelines

Intervention type: OTHER
Group type: EXPERIMENTAL
Intervention: Government-based HIV care [usual care]
Description: Participants randomized to government-based HIV care will be referred to government-based HIV clinics for ongoing HIV clinical management. Government-based clinics provide free HIV care that adheres closely to Indian HIV treatment guidelines