In Khayelitsha, South Africa, the quick pick-up programme (QPUP) was piloted at a large ART clinic that was supported both by local government and the . Clients in the QPUP model are not required to have their clinic folder from the registry or see the clinician when they come for a quick pick-up. The client, or a client-appointed representative, goes directly to the pharmacy (open twice weekly in the evening) on the scheduled appointment date any time between 16:30 and 19:30. The client collects their pre-packed two-monthly ART refill from a pharmacy assistant using only their patient-held card. Clients are required to see a clinician twice a year for clinical review including rescripting.

Eligibility

6 months on 1st or 2nd line ART, virally suppressed with no condition requiring regular clinical follow up

Building blocks for the fast-track model

ART refills

What

ART refill

When

2 monthly

Where

HIV clinic

Who

Pharmacy assistant 
Lay health care worker

Clinical Consultation 

What

Laboratory tests 
ART rescripting 
Clinical monitoring 
ART refill 

When

6 monthly

Where

HIV clinic

Who

Nurse 
Doctor