Clinical Decision-support Reminders to Improve IPT Initiation Among HIV Positive Adults in Western Kenya

Clusters: Inclusion Criteria * active * uses HIV initial and return encounter paper forms * enters data into the AMPATH medical records system (AMRS) or sends forms to central location for data entry * prints or receives printed paper summary sheets with reminders * interprets chest x-rays * interprets sputum smear results * prescribes IPT and dispenses INH * completed an average of 10 initial adult HIV positive encounters per month in 2012 * HIV Care Clinic Exclusion Criteria - Patients: Inclusion Criteria * HIV positive * complete an adult initial encounter at an HIV Care Clinic during the enrollment period * attend at least one additional appointment within 90 days after the initial encounter Exclusion Criteria \- history of TB or IPT