Building block | Multi-month refills (MMR) | Weekend clinics | School holiday clinics | Child/teen clubs | Family model of care | Community-based models |
Who | Clinicians* | Clinicians, lay workers, counsellors† | Clinicians, lay workers, counsellors | Clinicians, lay workers, counsellors | Clinicians, lay workers, counsellors | Clinicians, lay workers, counsellors |
What | Provision of ART refills | Provision of comprehensive one-stop care, including clinical checks, ART refills. May be provided to groups or individuals | Provision of comprehensive one-stop care, including clinical checks, ART refills. May be provided to groups or individuals | Provision of comprehensive one-stop care, including clinical checks, ART refills. Provided to peer groups | Provision of comprehensive one-stop care, including clinical checks, ART refills. Provided to family groups | Provision of screening, refills, counselling, clinical checks |
Where | Facility†* | Facility | Facility | Facility | Facility | Community, mobile clinic |
When | Every 2–3 months | Weekends (frequency may follow refill or clinical check schedule and may be every 2–3 months when combined with MMR) | Scheduled for every 2–3 months during school holidays | Frequency may follow refill or clinical check schedule (may be every 2–3 months when combined with MMR) | Frequency may follow refill or clinical check schedule (may be every 2–3 months when combined with MMR) | Monthly |
*Clinician can include physician, clinical officer, nurse and/or pharmacist.
†Lay worker/counsellor can include peer counsellors, mentors, expert clients.
‡Facility can include HIV clinic/hospital, primary health clinic, other clinic.
ART, antiretroviral therapy; DSD, differentiated service delivery; EGPAF, Elizabeth Glaser Pediatric AIDS Foundation; MMR, multi-month refills.