Clinical Research Directory

Inclusion Criteria: * Female, living with HIV and receiving services at one of the 20 selected HCF/CTCs * Age 18 years old and above * Evidence of care engagement challenge, defined as either: * Missed a scheduled clinic visit in the past 12 months, or * Attended the most recent clinic visit 14 or more days late * Routinely receiving services at the HCF where recruited * Not anticipating changing HCF in the next 12 months * Willing to provide whole-blood samples for viral load testing (baseline and 12 months) * Willing and able to provide informed consent. Exclusion Criteria * Unable to visit the facility during recruitment period * Too medically unwell at recruitment to safely complete study procedures (e.g., severe weakness, high fever, severe pain, vomiting/dehydration, shortness of breath, confusion). * Severe mental health condition, acute distress, intoxication, or cognitive impairment that prevents informed consent or reliable participation. (This criterion is applied observationally by the research assistant at the point of contact and does not involve a screening instrument, a standardized assessment or a review of the client's mental health diagnoses. It is a judgement about capacity to engage with the consent conversation on that day, not a judgement about whether the woman has a mental health condition.) * Psychiatric emergency at recruitment (e.g., active suicidal intent/plan, severe agitation/psychosis) requiring urgent care. * Communication barrier that makes consent or data collection not feasible with available accommodations. * Refuses to provide minimum locator/tracing information needed for follow-up.