Bringing HIV care to the community: a new test in zambia
NCT ID NCT02776254
First seen Aug 11, 2026 · Last updated Aug 12, 2026 · Updated 1 time
Summary
This study in Zambia is testing whether community-based and streamlined models of antiretroviral therapy (ART) care can help people living with HIV stay in treatment. It involves about 3,100 HIV-positive adolescents and adults who are not acutely ill. Participants may receive care through point-of-care testing for rapid ART initiation, community or urban adherence groups, or prescription refills. The goal is to see if these approaches improve retention in care and are acceptable, feasible, and cost-effective compared to standard care.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Differentiated care models for antiretroviral therapy (ART) delivery, including point-of-care testing, community adherence groups, and prescription refills
- What this could lead to
- If successful, this could show that community-based ART delivery is a practical way to keep more people with HIV in care, potentially improving long-term health and reducing transmission.
- What could go wrong
- The study is observational in nature and focuses on feasibility and implementation, so it may not prove which model works best. Results may also depend on local context and may not generalize to other settings.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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3,100 people
The number who actually took part.
- Started
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Mar 2016
- Finished
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Jul 2017
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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15 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * HIV-positive adolescents and adults (\> 14 years of age) * Last CD4 count (obtained within the last six months) \> 200 * Not acutely ill * For CAGs, UAGs, and Fast-Track models: on ART for at least 6 months * For the START model: ART naïve and meet the Zambian HIV guidelines for treatment initiation Exclusion Criteria: * For CAGs, UAGs: Inability to participate in the group activities due to cognition deficits or mental illness. * Unable to provide consent or unwilling to participate in study * Pregnancy
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Centre for Infectious Disease Research in Zambia
Lusaka, Lusaka Province, 10101, Zambia
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Other studies related to the condition(s) this trial covers.
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