Six-month study visit to determine eligibility for the second randomization
TB
CRYPTOCOCCAL MENINGITIS
After the initial 6-month stage, a visit will take place at a location of the participant’s choice with options for the visit to take place at home, at a mobile van, a location in the community, or at the clinic. Participants will complete questionnaires to assess engagement in care and barriers to accessing care. To further determine eligibility, specimens will be collected for viral load testing (either plasma or point-of-care viral load testing, if available). Participant clinic and pharmacy records will be checked for missed clinic appointments and/or missed ART refills. Participants who are virally suppressed and engaged in care at month 6 will continue in their original group, receive quarterly phone calls, and schedule their exit visit at month 18. Locator information will be confirmed. Participants who meet the criteria for not engaged in care or LTFU will receive their second randomization once the questionnaire is complete. Viral load results will be provided either immediately if using a point-of-care test or within a week to facilitate rerandomization for participants who are engaged in care. Once it has been determined that the participant is eligible to be rerandomized, the first step will be to determine whether or not ART has been initiated. If the participant is not engaged in care but ART has been initiated, the clinical screen will be conducted to exclude symptoms of active TB or cryptococcal meningitis, point-of-care creatinine will be checked, and a 3-month refill will be provided. Participants will be taught to self-collect DBS for viral load testing at this visit.