Facility fast-track, Zimbabwe
Clients in this Zimbabwean fast-track model are able to collect their ART refills from the health facility in a short amount of time – without having to be seen by clinician, counsellor other health workers. These clients are not required to collect their folder from the registry. Clinical reviews are limited to once or twice a year. In this model, clients go directly to the facility pharmacy or dispensing room, use their client-held patient card, and collect their ART refill from their repeat script at each of their other annual ART refill visits.
A 2019 study of the available DSD models in Zimbabwe found that fast-track was the preferred treatment model of clients who could afford regular visits to their health facility, but were concerned about maintaining the confidentiality of their HIV status and valued shorter waiting times.
On current ART regimen for at least six months, virally suppressed (viral load of less than 1000 or CD4 count above 200, no current opportunistic infections.
Group adherence support
Brief symptom screen
Primary care clinic
Lay health care worker
Primary care clinic
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Further information and resources
Published evidence for facility-based individual models
The limited evidence for facility-based individual models suggests increased cost effectiveness for the health system, improved quality of care and improved client outcomes.