Sydney Rosen presented this SA randomised trial. Patients in South Africa were randomised to start ART on first visit or delay to standard guidelines (which require CD4 testing and behavioural visits, which can take up to 4-6 visits). Three quarters in the RapIT arm started on the first visit (TB was the main cause for delay in the RapIT arm). The RapIT arm had improved outcomes. It saw greater effect for young people, in primary care clinics and loss to follow up was very low.

The presentations should be on line shortly http://www.croiconference.org/ this one is #28 in Session Oral-2