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