Table 1.
Standard of care ACs | Intervention ACs | |
---|---|---|
Frequency of AC visits |
2 monthly × 4+ 4 monthly × 1 (5 per year) |
6 monthly (2 per year) |
ART dispensing interval |
2 monthly × 4 4 monthly × 1 (5 per year) |
6 monthly (2 per year) |
Frequency of clinical consultations | 12‐monthly | 12‐monthly |
Frequency of routine bloods | 12‐monthly | 12‐monthly |
Timing of routine lab tests | Part of AC visit | An additional individual visit, scheduled two to six weeks before the AC visit |
Treatment “buddies” | Allowed to collect at every other visit | Not permitted |
ART packing and dispensing | Pre‐packed by central dispensing unit, delivered to the clinic pharmacy, dispensed at AC visit | Pre‐packed at the clinic pharmacy with support from research staff, dispensed at AC visit |
Standard number of contacts per year | 5 | 3 (2 within the AC and 1 individual for routine bloods) |
Size of ACs | Groups of 25 to 30 | Groups of 25 to 30 |
Peer‐based support | Strong emphasis | Strong emphasis |
Patient self‐management | Strong emphasis | Strong emphasis |
Management of clinical complications | Up‐referral to clinic clinicians – patient exits AC and returns to routine clinic appointments | Up‐referral to clinic clinicians – patient exits AC and returns to routine clinic appointments |
Grace period | 5 days | 5 days |
Minimum number of contacts for the patient per year | 3 (could send a “treatment buddy” to collect ART twice) | 3 |