Family clubs have been implemented at two clinics in the Khayelitsha area of Cape Town by MSF in partnership with local health authorities.. Family clubs are comprised of 15 children stable on ART and their caregivers. Clubs are led by a lay health care worker and meet five times per year. Family clubs are grouped by age bands of children (4-7 years, 7-10 years, 10-15 years) and disclosure status (not disclosed, partially disclosed and fully disclosed). In this model, both the children and their caregivers (if HIV positive and stable on ART) receive their pre-packed ART in the group (caregiver’s ART pre-packed before club visit and children’s ART packed during group support session). The annual viral loads and clinician reviews are aligned with group ART refill collection (children are <5 years viral load and clinical review bi-annually). The lay health care worker provides support to caregivers for phased child disclosure and peer support.