Facility-based individual models

Decentralised PHC care with outreach support for children

Clinical
Specific populations
Context

In Zambia, children stable on ART were referred from paediatric services at referral hospital to closer feeder PHCs (not providing ART services). Children were seen 3 monthly for clinical review and ART refill by an outreach team from the referral hospital.  CD4 was measured every 3 months but later changed to 6-monthly.

Who is eligible for this model?

0-16 years, >3 months on ART, demonstrated good adherence, no OIs and want care closer to home.

 

Clinical consultation and ART refill

WHAT

Clinical review
Adherence counselling
ART refill
ART rescripting
Labs
Referral if necessary

WHEN

3-monthly

WHERE

PHC

WHO

Outreach team
from district hospital

Summary of the model (per year)

Location

Decentralised PHC care with outreach support for children
Zambia

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More information on how to implement this model.

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