Table 1.
ART medical adherence club (MAC) | Integrated HIV/NCD Club (IC) | ||
---|---|---|---|
Club formation | Approximately 25 patients are recruited into a club simultaneously and initiated into the club process together | ||
Club admission criteria | HIV-positive at least 6 months on ART with suppressed viral load (VL) | HIV-positive with DM and/or HTN, at least 6 months on ART with suppressed VL. Blood pressure (BP) < 140/90 mmHg and HbA1c < 9% | |
Number of Club visits per year |
Total = 5 3 medication collections 1 medication collection and clinical examination 1 medication collection and phlebotomy |
||
Bloods tests conducted at phlebotomy visit |
Viral Load and safety bloods (Liver function, renal function and full blood count depending on ART regimen)a |
Viral Load and safety bloods (Liver function, renal function and full blood count depending on ART regimen) HbA1cb Creatinineb |
|
Procedures at each clinical visit | Weight, BP, screening for tuberculosis symptoms and ART side effects, HIV health education and adherence counselling at each visit by lay-counsellorc | ||
Staff providing care |
Lay-counsellor for medication collections Professional Nurse practitioner for clinical examination and phlebotomy Medical officer to review complicated patients |