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ART adherence clubs: A long-term retention strategy for clinically stable patients receiving antiretroviral therapy
Submitted: 12 December 2013 | Published: 04 June 2013
About the author(s)
Lynne Susan Wilkinson, Médecins Sans Frontières Khayelitsha, Cape Town, South Africa, South AfricaAbstract
The ART-adherence club model described here provides patient-friendly access to antiretroviral therapy (ART) for clinically stable patients. It reduces the burden that stable patients place on healthcare facilities, increasing clinical human resources for new patients, and those clinically unstable and at risk of failing treatment. In the model, 30 patients are allocated to an ART club. The group meets either at a facility or community venue for less than an hour every 2 months. Group meetings are facilitated by a lay club facilitator who provides a quick clinical assessment, referral where necessary, and dispenses pre-packed ART. From January 2011 to December 2012, after adoption for phased rollout by the Western Cape Government, more than 600 ART clubs were established in Cape Town, providing ART care to over 16 000 patients. This extensive, rapid rollout demonstrates active buy-in from patients and facility staff. South Africa should consider a similar model for national rollout.
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Crossref Citations
1. ‘At this [adherence] club, we are a family now’: A realist theory-testing case study of the antiretroviral treatment adherence club, South Africa
Ferdinand C. Mukumbang, Brian van Wyk, Sara Van Belle, Bruno Marchal
Southern African Journal of HIV Medicine vol: 20 issue: 1 year: 2019
doi: 10.4102/sajhivmed.v20i1.922