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Fighting AIDS Saving Lives | Adherence Clubs

240 views · Published 15 September 2016 · 2:39 · Indexed 23 October 2026

Channel: Médecins Sans Frontières/Doctors Without Borders · 2016 · Nonprofits & Activism

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Patients are deemed stable after a minimum of six months on ART without side effects or Opportunistic Infections and with a CD4 count above 200 cells/µl.
In the last five years, the number of people in South African health facilities receiving life-saving antiretroviral treatment (ART) in the last five years has grown from 382,000 to more than 1.79 million. 

However, South Africa’s National Strategic Plan aims to put more than 3 million people on ART by 2016. As numbers nearly double, the health service will struggle to retain and manage such a high number of patients in care. Adherence club models offer a long term solution to manage stable patients.
ART clubs were piloted by MSF with support from the Western Cape Department of Health (WCDOH) and the Treatment Action Campaign (TAC) in a large community health centre in Khayelitsha, Cape Town. The pilot showed that club participation was associated with sustained virological suppression and immunologic recovery. 

Over 40 months, 97% of club patients remained in care compared to 85% of those who qualified for clubs but remained in mainstream care. Club participants were also 67% less likely to have virological rebound, indicating better adherence in clubs compared to mainstream care.

Médecins Sans Frontières (MSF) is an international, independent, medical humanitarian organisation that delivers emergency aid to people affected by armed conflict, epidemics, natural disasters and exclusion from healthcare.

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