In Côte d’Ivoire, ART established clients attending health facilities can access ART refills through patient support groups (called adherence clubs), run by community counsellors and social assistants at the facilities. This is a healthcare worker-managed group model, which can be facility or community based. In Côte d’Ivoire, the facility fast track model (facility-based individual model) is also approved in policy.

By June 2018, 49% of the country’s facilities were implementing one of these two models, reaching 30,518 (74%) of eligible clients.

Eligibility

Established on ART according to national criteria for Côte d’Ivoire

Building Blocks

ART refills

What

ART refill 
Group counselling 
Peer support 

When

3 monthly

Where

Health facility

Who

Community counsellor and/or social assistant

Clinical consultation

What

Clinical assessment 
Laboratory investigations 
Rescripting 

When

6 monthly

Where

Health facility

Who

Doctor

Further reading

Interested in Prioritizing differentiated ART delivery for clinically stable clients in West and Central Africa? Read more here (English) or here (French

Access our policy brief for differentiated ART delivery for clinically stable client in West and Central Africa here (English) or here (French). 

Learn more about another West and Central African DSD intervention: “Community-based points of  
ART distribution (PODI) in the DRC” here.

Learn more about another West and Central African DSD intervention: “Community pharmacies for ART refills in Nigeria” here.