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Rudi Kundini, Pamoja Kundini
Sponsor: University of California, Berkeley
Summary
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).
Official title: Strengthening the Continuity of HIV Care in Tanzania With Economic Support: Phase II
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
692
Start Date
2023-10-23
Completion Date
2026-01-20
Last Updated
2025-07-30
Healthy Volunteers
No
Conditions
Interventions
PKC (adapted adherence counseling) and Conditional Cash Transfers
The intervention includes up to 3 cash transfers of 22,500 Tanzanian Shillings (\~$10) paired with attendance at each of the three adapted enhanced adherence counseling sessions (PKC sessions). The first cash transfer will occur at enrollment; the next two cash transfers are payable upon visit attendance and attendance of the two remaining PKC sessions. The cash transfers will include extra funds for transaction fees, typically \<$1.
Locations (4)
Geita Regional Referral Hospital
Geita, Tanzania
Geita Town Council Hospital
Geita, Tanzania
Nyankumbu Health Center
Geita, Tanzania
Katoro Health Center
Katoro, Tanzania