Volume 3, Issue 12, Pages e592-e600 (December 2016) Evaluating strategies to improve HIV care outcomes in Kenya: a modelling study  Dr Jack J Olney, MSc, Paula Braitstein, PhD, Jeffrey W Eaton, PhD, Edwin Sang, ScM, Monicah Nyambura, BSc, Sylvester Kimaiyo, MMed, Ellen McRobie, MSc, Joseph W Hogan, ScD, Timothy B Hallett, PhD  The Lancet HIV  Volume 3, Issue 12, Pages e592-e600 (December 2016) DOI: 10.1016/S2352-3018(16)30120-5 Copyright © 2016 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY license Terms and Conditions

Figure 1 Operational steps involved in navigating an ART programme Blue arrows show linkage step in which patients were seen by a clinician and had blood taken for a CD4 test. Grey arrows show the shortcut to immediate ART initiation taken by individuals presenting with WHO stage 3 or 4 symptoms. Dashed arrow shows ART reinitiation after loss from ART care (does not occur in the baseline programme). ART=antiretroviral therapy. The Lancet HIV 2016 3, e592-e600DOI: (10.1016/S2352-3018(16)30120-5) Copyright © 2016 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY license Terms and Conditions

Figure 2 Distribution of care experience of patients who died from HIV ART=antiretroviral therapy. Late initiation is defined as a person with a CD4 count of less than 200 cells per μL. The Lancet HIV 2016 3, e592-e600DOI: (10.1016/S2352-3018(16)30120-5) Copyright © 2016 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY license Terms and Conditions

Figure 3 Disability-adjusted life-years averted and additional cost of care (based on 2013 US$) for interventions acting on the cascade between 2010 and 2030 Optimal combination of interventions includes facilitated linkage, on-ART outreach, VCT point-of-care CD4, pre-ART outreach, and point-of-care CD4. ART=antiretroviral therapy. HBCT=home-based counselling and testing. VCT=voluntary counselling and testing. The Lancet HIV 2016 3, e592-e600DOI: (10.1016/S2352-3018(16)30120-5) Copyright © 2016 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY license Terms and Conditions