5. Conclusion
initiation, retention
This pragmatic cluster randomized trial found program interns from the novel YHA program to have little impact on HIV service delivery at facilities in South Africa. There were significant, immediate increases in HIV testing observed after program interns started in facilities, but there was insufficient evidence to draw robust inference on the program’s impact on improving indicators related to HIV positive cases, treatment initiation, retention in care, or testing among males or youth. While this was largely a null trial, we do not believe this suggests the YHA program had no impact health facilities. Rather, when we review these results alongside previous research [