ADHERENCE CLUBS (ACs)

Details

• Description:
  Adherence Clubs (ACs) is a group-level intervention to improve retention in HIV care and sustain viral suppression for clinically stable persons with HIV in South Africa. ACs comprise clinically stable ART patients who meet at facilities or community locations in groups of up to 30 persons every 2 to 3 months to receive group counseling, brief symptom screening, and prepacked medications. Clubs are managed by lay staff and nurses at the facility with support from community health workers. The goal is to keep patients engaged and adherent by providing social support and facilitating medication delivery and treatment monitoring while reducing patient burden at the clinic. The intervention sites allow clinically stable patients to choose between three prescription collection strategies available: ACs, Decentralized Medication Delivery (DMD) (i.e., prepacking and distribution of medication to pick-up points which are at locations other than the clinic pharmacy), or spaced fast-lane appointments, which the authors did not evaluate or elaborate on. Switching between strategies is also allowed, but this is monitored. Patients cannot enroll in more than one approach at the same time.
• Document Type:
  Report
• CIO:
  NCHHSTP
• Division:
  NCHHSTP_DHAP
• Topic:
  PRS Project HIV Compendium
• Collection(s):
  Historical CDC.gov Content
• Main Document Checksum:
  urn:sha256:d623740097079fe16da0a4ad6d45d141e6f24eee50e3989237648203795d04fa
• Download URL:
  https://stacks.cdc.gov/view/cdc/149576/cdc_149576_DS1.pdf
• File Type:
  [PDF - 327.78 KB ]