Client-managed groups

Community client-led ART delivery (CCLAD)

Clinical
Specific populations
Context

TASO has implemented community client-led ART delivery (CCLAD) in Jinja, Uganda. It was designed to increase the capacity of an out-of-facility ART distribution model, the community drug distribution points (CDDP), run in the same area. These collection points became congested. Instead of individual patients collecting from these points, long-standing stable patients join a peer support group (PSG) in their village/local area. The PSG has 7-10 members and elects a group leader who collects ART refills on behalf of the group at the CDDP and distributes these back in the village/local area. There is no rotation of group members attending the CDDP. All group members attend their 6-monthly clinical visit at the CDDP supported by a mobile outreach team.

Who is eligible for this model?

On ART for >4 years, clinically stable (not on TB treatment or fluconazole), CD4 >350 cells/ml, adherence >95%, adult (>18 years); not pregnant

ART refills

WHAT

ART refill
Group adherence support
Referral if unwell

WHEN

2 monthly
3 monthly

WHERE

Community venue
Home

WHO

Peer

Clinical consultation

WHAT

Laboratory tests
ART rescripting
Clinical monitoring
ART refill

WHEN

6 months

WHERE

Community drug distribution point (CDDP)  

WHO

Nurse
Physician

Summary of the model (per year)

Location

Uganda CCLADs
Kampala, Uganda

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