Cluster randomized intervention trial to evaluate ‘opting-out’ vs. ‘opting-in’ strategies on the uptake of HIV counseling and testing of TB patients in the Province of the Eastern Cape, South Africa
Cape Town, South Africa
This cluster-randomized trial is designed to determine if the opt-out strategy significantly increases HIV-counseling uptake of newly registered TB patients in comparison to the current opt-in strategy in the Eastern Cape Province of South Africa. Including HIV counseling as part of the ‘package’ of a routine medical evaluation administered to all adult TB patients would routinize counseling; TB patients would no longer be asked whether they wanted HIV counseling. Patients could refuse counseling, just as a patient can refuse any aspect of medical evaluations, but by providing HIV counseling universally to all TB patients, we believe that fewer patients will refuse or ‘opt-out’.
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- Cape Town, South Africa: 22 projects - selected city