ART adherence clubs in the Western Cape of South Africa: what does the sustainability framework tell us? A scoping literature review.

ABSTRACT:

Introduction

In 2007, the antiretroviral therapy (ART) adherence club (AC) model was introduced to South Africa to combat some of the health system barriers to ART delivery, such as staff constraints and increasing patient load causing clinic congestion. It aimed to absorb the growing number of stable patients on treatment, ensure quality of care and reduce the workload on healthcare workers. A pilot project of ACs showed improved outcomes for club members with increased retention in care, reduced loss to follow-up and a reduction in viral rebound. In 2011, clubs were rolled out across the Cape Metro District with promising clinical outcomes. This review investigates factors that enable or jeopardize sustainability of the adherence club model in the Western Cape of South Africa.

SUBMITTER: Flamig K 

PROVIDER: S-EPMC6531844 | biostudies-literature | 2019 Mar

REPOSITORIES: biostudies-literature