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Description:SmartLink is a mobile health app designed to improve linkage to care among persons who are newly diagnosed with HIV and are Android smartphone owners. The SmartLink app allows participants to engage in their own care by directly providing them with appointment reminders, two laboratory results (CD4 count and viral load), information about the laboratory tests, antiretroviral (ART) adherence, and general HIV information. The app, available in both English and Zulu, communicates information to the participant in simple language using a color-coded scale reporting normal values that are accompanied by short explanations of the results, and provides guidance on any necessary actions that should be taken. Participants receive assistance with the installation of the SmartLink app on their Android smartphone from study staff. To protect participants’ HIV status and ensure confidentiality, the SmartLink logo, app icon, and landing page do not make reference to HIV/AIDS or healthcare, and the app requires a username, password, and a personal identification number to gain access to personal health data. All participants, regardless of study arm, are instructed to attend their local clinic for a follow-up visit within a few weeks after starting the study and not wait for the results on their phone.
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