This study seeks to determine the clinical efficacy and cost effectiveness of implementing an integrated model for HIV monitoring using point of care (POC) tenofovir (TFV) adherence testing and POC viral load (VL) monitoring in improving ART adherence, maintaining durable VL suppression, and improving retention in care among HIV-positive individuals initiating first-line tenofovir disoproxil fumarate (TDF)-based ART in South Africa.
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Number of Participants With Viral Load Suppression (<200 Copies/ml) and Retained in Care at 72 Weeks
Timeframe: 72 weeks after ART initiation
Tenofovir Diphosphate Concentration Level >=700 Fmol/Punch in Dried Blood Spots
Timeframe: 72 weeks after ART initiation