Table 1 Broad overview of the three ART delivery models
Home-based delivery (HBD) | Adherence clubs (AC) | Standard of care (SoC) | Comments | |
|---|---|---|---|---|
Clients are visited in their home by the CHiPs | Group of 20–30 clients meet at an agreed community venue led by a pair of CHiPs | Clients visit the clinics as scheduled | ||
Number of visits/year | 2 HBD 2 clinic | 2 clubs 2 clinic | 4 clinic | |
ART dispensed | 3 months | 3 months | 3 months | |
Routine laboratory testing | Every 12 months • Viral load • CD4 • Creatinine | Every 12 months • Viral load • CD4 • Creatinine | Every 12 months • Viral load • CD4 • Creatinine | As per routine national guidelines |
Frequency of clinical monitoring | 2 (every 6 months) | 2 (every 6 months) | 2 (every 6 months) | |
Process | • Symptom screening • Adherence support • Health education and provision of condoms • Dispensation of pre-packed drugs | • Symptom screening • Adherence support • Group education and provision of condoms • Dispensation of pre-packed drugs | • Symptom screening • Adherence support • Health education and condom provision • Drug dispensation at pharmacy |