Zambia’s DSD policy framework makes provision for before/after hours and weekend HIV treatment models that allow for ART collection outside of normal health facility operating hours.  These models are designed to benefit clients who may have competing priorities such as school or work schedules, and therefore allow for ART collection in the early mornings, evenings and over weekends.


On ART for at least six months, virally suppressed, no current illness or pregnancy and record of good treatment adherence

Building blocks for the fast-track model

ART refills


ART and CTX refill 
Symptom screening 
Adherence counselling 


3 monthly (outside of normal health facility hours)


Dedicated room at health facility 


Healthcare worker or trained lay health care worker