Is viral load testing required when using a RTRI?

If a client tests recent on the RTRI, further confirmation is advised, if feasible, through viral load testing. If returning RTRIresults to clients, the counselling session should emphasize that a recent test result is preliminary and requires additional testing for confirmation and that the final confirmed test result will be returned once available. Note that a long-term test result on the RTRI does not require confirmation and can be returned during the counselling session as the final result. Implementation of the RITA with viral load testing is not required in settings where viral load testing is not readily available. Countries should determine whether viral load testing for all individuals testing recent on the rapid test is reasonable in their context.