Khayelitsha quick pick-up programme (QPUP) has been piloted by the Western Cape Department of Health supported by MSF at a single large ART clinic in Khayelitsha. Individuals who are stable ART clients are assessed by a clinician at the facility and offered enrolment in either a health worker-managed group model or the quick pick-up programme (QPUP). Clients that opt for QPUP are no longer required to draw patient folders from the registry or see the clinician at each health care visit. The client or a client-appointed representative goes directly to the pharmacy (open twice weekly in the evening) on their scheduled appointment date any time between 4:30 and 7:30pm. The client collects their pre-packed 2-monthly ART refill visit from a pharmacy assistant only using their patient-held card. Clients are required to see the clinician twice a year for clinical review including rescripting.