Evaluation of Local Drug Delivery and Adherence Clubs for Stable Patients in South Africa

Viral suppression rates with local drug delivery and adherence clubs were comparable to those with standard clinic-based care, supporting further evaluation of such alternative delivery models.

South Africa has the largest HIV treatment effort of any country and is struggling with over-burdened clinics and low retention in care and adherence rates over time. A national chronic disease adherence effort is underway. For stable patients, the intervention includes use of adherence clubs (ACs; small groups that meet locally to discuss adherence and pick up prepackaged medications) and decentralized medication delivery (DMD; patients pick up medication locally, away from the clinic, at places like a school or church). For this evaluation, investigators randomized 12 clinics to the intervention and 12 to control groups (care still provided at HIV clinic facilities). Retention and 12-month postenrollment viral suppression rates (<400 copi…

Reviewing Author

Keith Henry, MD

Disclosures

Consultant/Advisory BoardViiV Advisory Board

Editorial BoardsJAIDS: Journal of Acquired Immune Deficiency Syndromes

Keith Henry, MD

Disclosures

Consultant/Advisory BoardViiV Advisory Board

Editorial BoardsJAIDS: Journal of Acquired Immune Deficiency Syndromes

Evaluation of Local Drug Delivery and Adherence Clubs for Stable Patients in South Africa

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Reviewing Author