There are two cluster randomized controlled trials from Kenya and Uganda reporting outcomes from home ART delivery models. In Uganda, there was no difference between the virological failure rates for home versus for facility care (rate ratio, RR, 1.04, 0.78-1.40; equivalence shown) (7). Mortality rates were also similar between the groups (0.95, 0.71-1.28). Health services and patient cost year were less for home delivery compared with facility refill (US$793 vs. $838 for health services and $18 vs. $54 for patient). In Kenya, no significant intervention-control differences were found with regard to detectable viral load, mean CD4 count, change in ART regimen, new opportunistic infections or pregnancy rates. Intervention clients made half as many clinic visits as did controls (8).