Client-managed groups

Zimbabwe community ART refill groups (CARGs)

Clinical
Specific populations
Context

Zimbabwe community ART refill groups (CARGs) were piloted by MSF in partnership with the Zimbabwe MoH. They were endorsed for national implementation as one of the four possible ART delivery models for stable clients included in the minimum package of services to be offered by ART facilities. Stable clients who are willing to disclose their HIV status to each other form groups of 4-15 with support from facility nurses and counsellors. A rotating CARG representative/s attends the facility to collect a 3-month ART refill for each member of the group. The entire group attends the facility either annually (where viral load is available) or 6 monthly for their clinical visit.

Who is eligible for this model?

On ART >6 months, no current OIs, VL <1,000 copies/ml (if no VL available, CD4>200), no other clinical condition requiring more frequent clinical consultations

ART refills

WHAT

ART refill
Group adherence support

WHEN

3 monthly

WHERE

Community venue
Home

WHO

Client
Peer

Clinical consultation

WHAT

Laboratory tests
ART rescripting
Clinical monitoring
ART refill

WHEN

6 months
Annual

WHERE

Primary care clinic

WHO

Nurse
Physician

Summary of the model (per year)

*1 if VL, 2 if CD4

Location

Zimbabwe

Need more details?

More information on how to implement this model.

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