Clients stable on ART form groups of 4-10. They meet at a group member’s home or venue close to all the members’ homes the day before or on the day of the groups’ scheduled facility visit. Each member reports on adherence, and undergoes a pill count and brief symptom screen, which is completed on a group monitoring form. The group may use the opportunity to provide each other with peer support. Each member takes a rotating turn to attend the health care facility for monitoring tests and clinical review whilst collecting ART refills for all members of the group. All members’ ART cards/clinical folders are drawn at the facility and the attending group member reports on the health and adherence of each member from the group monitoring form to the clinician who completes the client ART card/clinical folder. The collecting member thereafter travels home, meets the group at the same venue and distributes collected ART refills. Any group member who is unwell or reports symptoms can attend the facility with the group representative or seek clinical support at any other time.