In Sierra Leone, Community Adherence Groups (CAGs) were established in response to COVID-19 as a way to reduce the burden on health facilities and ensure uninterrupted ART access for people living with HIV.  A CAG is a group of six to ten people living with HIV, who are from the same community or geographic location. One member of the group collects ART refills for the whole group.  When the CAG meets to receive their ART, an ‘expert client’ in the group conducts symptom-based general health assessments for other members and they provide peer support to each other. 
  
The establishment of CAGs has led to increased treatment uptake and improved ART adherence in the region.  CAGs promote treatment adherence amongst peers and serve as a link between the community and health facilities, including raising awareness about COVID-19 infection prevention and control measures. 
 
Find more evidence from other CAGs here

Eligibility

More than 6 months on ART

Building Blocks

ART refills

What

Distribution of ART refills that were pre collected from health facility 
Health check  
Peer support

When

3 monthly

Where

Community

Who

Group member / expert client