This policy brief presents key outcomes from the Zvandiri Cluster Randomized Trial, conducted by the Centre for Sexual Health and HIV/AIDS Research Zimbabwe, King’s College London, Liverpool School of Tropical Medicine, London School of Hygiene and Tropical Medicine, Ministry of Health and Child Care, Zimbabwe University of Sydney, and the University of Zimbabwe, College of Health Sciences.

Zvandiri is a differentiated service delivery programme for children, adolescents and young people living with HIV, established in Zimbabwe in 2004. The programme has been adopted by Zimbabwe’s Ministry of Health and Child Care (MoHCC). The  programme is implemented primarily by CATS (Community Adolescent Treatment Supporters), who are young people living with HIV, aged 18-24 years old, who are adhering well to ART and are willing to be CATS.