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Table 1 Adherence club procedures

From: Treatment outcomes among adults with HIV/non-communicable disease multimorbidity attending integrated care clubs in Cape Town, South Africa

  ART medical adherence club (MAC) Integrated HIV/NCD Club (IC)
Club formation Approximately 25 patients are recruited into a club simultaneously and initiated into the club process together
Club admission criteria HIV-positive at least 6 months on ART with suppressed viral load (VL) HIV-positive with DM and/or HTN, at least 6 months on ART with suppressed VL. Blood pressure (BP) < 140/90 mmHg and HbA1c < 9%
Number of Club visits per year Total = 5
3 medication collections
1 medication collection and clinical examination
1 medication collection and phlebotomy
Bloods tests conducted at phlebotomy visit Viral Load and safety bloods
(Liver function, renal function and full blood count depending on ART regimen)a
Viral Load and safety bloods
(Liver function, renal function and full blood count depending on ART regimen)
HbA1cb
Creatinineb
Procedures at each clinical visit Weight, BP, screening for tuberculosis symptoms and ART side effects, HIV health education and adherence counselling at each visit by lay-counsellorc
Staff providing care Lay-counsellor for medication collections
Professional Nurse practitioner for clinical examination and phlebotomy
Medical officer to review complicated patients
  1. HbA1c glycosylated heamoglobin
  2. aBased on provincial ART guidelines [26]
  3. bBased on Primary Care “PACK” guidelines [27]
  4. cNo specific NCD counselling for multimorbid patients provided