Table 1.
Standard of care: 2-month refill adherence clubs |
Intervention: 6-month refill adherence clubs |
|
Eligibility | Eligibility for adherence club care
All participants were previously enrolled in an adherence club care at Site B Community Health Centre |
|
Adherence club visits | Frequency: Two monthly (four visits receiving 2-month ART refills and one visit receiving 4-month ART refills over the December holiday period) (five per year) |
Frequency: Six monthly (two per year) |
Provider: Led by club facilitator (lay counsellor) | ||
Location: In the community (such as a library or community hall) or the facility | ||
Routine bloods (VL and for clinical review, depending on the regimen) | Frequency: Twelve monthly | |
Provider: Managed by a nurse | ||
Location: At the facility, part of the adherence club visit | Location: At the facility, an additional individual visit, scheduled 1 month before the adherence club visit | |
Clinical consultations | Frequency: Twelve monthly | |
Provider: Managed by a nurse | ||
Location: At the facility (part of the adherence club visit) | ||
Grace period | Patients can collect medication up to 5 days after their scheduled appointment | |
Treatment ‘buddies’ | Allowed to collect on a patient’s behalf at every other visit | Not permitted |
ART, antiretroviral treatment; VL, viral load.