ART refills
Clinical consultations
Individual/group approach
Group – 1-2 individuals from group collects on behalf of the group and distributes
Individual – clients from the group all come on the same day
Who attends?
Representative client/s
Client
At facility and in community
Lay community health model education and promotion in facility waiting rooms Community village health workers model education and promotion at community events and home visits Existing community HIV support groups Clinician suggesting enrolment
At individual clinical consultation
Clients (self-forming), or through a counsellor/nurse introducing possible group members to each other
Yes
Within the group
3-month supply with VL:
3-month supply with no VL:
One group representative goes to facility to collect ART refill for all group members and distributes upon return at group meeting venue in community
Rotating or nominated group member/s
Facility nurse assesses client to be clinically unstable requiring regular clinical follow up, including:
Facility nurse identifies client with:
Women during pregnancy and subsequent follow up of the “HIV-exposed” baby Where repeated CARG problems observed – failure of member to collect refills or attend facility for clinical review
Facility nurse
Client care and treatment booklet for all CARG members kept together at facility and completed by nurse when CARG representative attends to collect ART refills for the group with CARG refill form
Client section of CARG refill form
CARG refill form recorded in client and treatment booklet and then entered into ART register