Children and adolescent clients who are stable on ART are assessed by any clinician at the specialized paediatric facility and enrolled in the standardized paediatric expedited encounters for ART drugs initiative (SPEEDI) programme. These clients are no longer required to see a clinician at each health care visit. During a SPEEDI visit, the client’s file is marked at reception to reflect a potential SPEEDI visit. The client/caregiver proceeds to the triage room, where the triage team takes their vital signs and anthropometrics, conducts a pill count and enquires if they wish to see a clinician. If they do not wish to see a clinician, the client goes directly to the pharmacy to collect a 2-3-month ART refill. While waiting at the pharmacy, a clinician quickly reviews the file to ensure that the patient is indeed eligible for SPEEDI. The clinician writes the appropriate script and lab requisition forms (when needed). Clients alternate fast-track SPEEDI visits with routine clinical review visits and thus are required to see the clinician 2-3 times a year. Clients have their viral load taken once a year, at the ART refill visit prior to their clinical review allowing for assessment as part of the clinical review.