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Improving Linkage to HIV Care Following Provider Initiated Testing and Counseling

Funding: UW CFAR Grant

PI: Brandon Guthrie

Time Period: 11/01/2013 - 10/31/2015

Provider initiated HIV testing and counseling (PITC) is implemented in outpatient clinics and inpatient hospital wards among patients seeking medical services and aims to reach those who do not attend voluntary counseling and testing (VCT) centers in sub-Saharan Africa. However, patients diagnosed through PITC are less likely to link to care following their diagnoses compared to patients tested in other settings. We hypothesize that implementing a skilled team to provide expedited comprehensive HIV patient services, including peer counseling, rapid point-of-care (POC) CD4 count testing, and a liaison with the health system, will increase patient knowledge relevant to care and treatment and will reduce barriers to efficient linkage to care and initiation of ART, resulting in reduced mortality. This is a mixed methods study to evaluate the facility-level implementation of an expedited care team to improve engagement in care.