Conclusions
Strategies to support young people in starting ART are urgently needed in South Africa. Yima Nkqo is a new intervention to support ART initiation that has been iteratively developed in collaboration with young adults and the healthcare providers who serve them. Early lessons from our field testing suggest that the intervention content can be delivered consistently by a trained lay faciliator and that participants appreciate the support, motivation, and education they received. The next phase of research will be a pilot randomized controlled trial of Yima Nkqo to assess acceptability and feasibility of this intervention.