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Community Models of Care project.

Project Description

Despite the rapid scale up of antiretroviral therapy (ART), patients still encounter barriers accessing treatment, while health systems struggle to provide care to their ever-increasing cohorts. To address these barriers, different models involving the community have been developed, which aim to provide services closer to patients’ homes, and involve separation of medication refills from clinical assessments.  This project consists of:

  • The report “Reaching Closer to Home“, available in both English and Français, describes recent progress in 6 countries on the implementation of community-supported strategies of ART refill such as community ART groups (CAGs), Adherence Clubs, and ART Distribution Points (also known as PODIs).  A short version of this report, published jointly with UNAIDS and called ‘Community-based Antiretroviral Treatment Delivery’, is available by clicking here.
  • Community ART Group (CAG) Toolkit, available in both English and Français, describes how to implement self-forming groups of patients, in which individual group members take turns visiting their health facility for ART refills.
  • An ART Adherence Club report and toolkit, available in English, describes a model that allows patient groups to collect pre-packaged, 2-month supplies of their drugs from lay health workers either at the clinic or elsewhere in the community.
    • A number of tools are available as Adherence Club Annexes to support the implementation of Adherence Clubs.
    • As of June 2015, a new insert/chapter became available that describes Family ART adherence clubs that cater for children stable on ART and their caregivers.  These ‘Family Clubs‘, run by counsellors and supported by nurses, also help to facilitate disclosure of HIV status to the children.
    • A 7-minute video showing practicalities of Adherence Clubs.
  • A report on ART Distribution Points (also known as PODIs), available en Français, which describes progress in implementation of a model whereby patients attend a health facility annually for a clinical check and blood-drawing in the urban setting of Kinshasa.  They then pick up their ARV drugs every 3 months from a community-based ART distribution point (PODI) managed by a local organization that supports PLHIV.

Note that relevant peer-reviewed articles and a presentation on community-supported models of care can be found here in the CMoC Dossier on this website.

Project Details

  • Date December 3, 2013
  • Tags CAG / PODI, HIV, Patient education and counseling, TB
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