Participants randomized to best clinic practices without lottery incentives
AIDS
AIDS
Enrolled participants will first be randomly assigned to low-intensity interventions: either best clinic practices or best clinic practices with a conditional lottery incentive. Participants randomized to the standard of care (SOC) best clinic practice group receive a clinic referral letter including the date of the HIV test, information on the clinical screening, and that they are being referred to the clinic for ART initiation. The study team will work with the clinics in the study area to provide training on the “Welcome Back” Campaign that was launched by the South African Department of Health in December 2020 on World AIDS Day. The Welcome Back service is a model of HIV care that aims to improve engagements in HIV services and promote long-term retention and care. The program focuses on those patients that leave care and return to care on their own and ensures that they are welcomed back to the clinic in a non-judgmental way. Welcome Back services include text message reminders/outreach; optimized ART pharmacy refills, including fast-track refills and multi-month dispensing as provided by the clinic; and adherence support. Participants are asked to notify the study team when they start ART, and receive phone calls every 3 months to assess linkage to care. Participants will schedule their month 6 follow-up visit to determine if rerandomization is required.