In the Western Cape province of South Africa, the provincial Department of Health and City of Cape Town Health are the main implementers of adherence clubs. There is an adherence club policy in place and the target is for 50% of the ART cohort to be in an adherence club. As of March 2015, 55 of 70 ART sites offered adherence clubs and a total of 32,429 clients were receiving their care, treatment and support in an adherence club. Adherence clubs in the Western Cape meet five times per year. Over the October/November period, the adherence club client receives 4 months of ART to support the high level of migration that happens out of the province at year end.