The research proposed here seeks to capitalize on our understanding of treatment refusal among people living with HIV in South Africa by designing a feasible and acceptable intervention to improve ART initiation. This multi-component intervention, titled the “Treatment Ambassador Program” (TAP), will target people living with HIV who do not initiate treatment within six months of learning they are eligible. It will be aimed at addressing barriers to ART initiation identified through our prior qualitative research, as framed through the Theory of Triadic Influence. It will be tested through a pilot randomized controlled trial to determine the acceptability, feasibility and preliminary impact of the intervention on ART refusal.

Funded by:
NIMH       CFAR         GHI