PEPFAR

Five chronic medicine dispensation points have been set up for patients to pick up their medications in convenient locations allowing patients to collect their chronic medication quickly and easily and at a site closer to their home or place of work.

Self-formed groups of clients on ARTs; participants meet in the community and share information about their health and ART adherence; then take turns going to the facility. Every 3 months one member attends clinic where they receive a clinical check-up and lab testing; they also review the health information of the group (CARG) and then picks up ARV refills for the entire group.

CIDRZ provides multi-month drug dispensing (3 months’ supply of ART) for each of the patients participating in the CAGs. Each CAG has 6 patients, who take turns visiting the ART clinic for clinical consultation and antiretroviral (ARV) drug collection. Annually, each patient has two clinical visits and will return to the clinic for their clinical follow-up appointment, even if it is not their turn to collect medications. Each CAG is assigned a community health worker (CHW) who provides basic psycho-social and clinical support to the CAG members. Index testing through family and partner notification has also been implemented through the CAGs.

To address the gaps and challenges in the monitoring and management of patients with high VL, and function as a form of differentiated care for unstable clients with high VL.