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Description:The SLATE (Simplified Algorithm for Treatment Eligibility) study utilizes a simple clinical algorithm to guide nurses and other clinical staff in determining eligibility for same-day ART initiation for adult HIV clinic patients without requiring laboratory results prior to initiation. The algorithm includes four screening tools—1) symptom self-report, 2) medical history questionnaire, 3) physical examination, and 4) readiness assessment—to determine eligibility for same-day initiation and potential clinical, historical, or personal reasons for referral to additional care or services prior to initiating ART. Patients who are “s creened in” by the algorithm (i.e., the algorithm did not report or demonstrate any reason to delay ART initiation) receive an initial supply of medication and assistance with scheduling their next clinic appointment. Patients who are “screened out” by the algorithm (i.e., the patient did not meet same-day initiation criteria on one or more of the four screens) are referred to the clinic for further investigation or care. Following the initial study enrollment visit, all patients received follow-up care under routine procedures. The algorithm does not require technology or infrastructure beyond what is available in public sector clinics .
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