Health care workers are responsible for the management of the provision of ART drug supply, care and support to groups of stable clients. 25-30 stable clients meet for 30-60 minutes and are facilitated by a lay health care worker who provides a brief symptom screen, referral where necessary, peer support and distribution of pre-packed ART to all the members present every 2-3 months (4-6 times a year). No client folders are pulled; nor is individual adherence counselling provided. Group members have their viral load taken at one of their annual group visits and are seen individually for clinical review at their next group visit. They also have access to clinicians through the model referral mechanisms if they become unwell. Group members are allowed to send a friend or family member to collect their ART drug supply in the group. Group attendance is recorded as a client visit in the paper-based registers, which are then captured in the facility’s electronic monitoring system (EMR).