Community-Based ART Programs: Sustaining Adherence and Follow-up

by Joia S. Mukherjee, Danika Barry, Robert D. Weatherford et al.
Curr HIV/AIDS Rep (2016) 13:359–366 – Published online: 13 October 2016

8 pp. 1.6 MB

The advent of antiretroviral therapy (ART) in 1996 brought with it an urgent need to develop models of health care delivery that could enable its effective and equitable delivery, especially to patients living in poverty. Community-based care, which stretches from patient homes and communities—where chronic infectious diseases are often best managed—to modern health centres and hospitals, offers such a model, providing access to proximate HIV care and minimizing structural barriers to retention. The authors first review the recent literature on community-based ART programs in low- and low-to-middle-income country settings and document two key principles that guide effective programs: decentralization of ART services and long-term retention of patients in care.

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