The Swaziland National AIDS Programme’s National Policy Guidelines for Community-centred Models of ART Service Delivery (June 2016) recognize the need for differentiation throughout the treatment pathway but specifically provide guidance for stable client management. The guidelines recommend a defined package of care reducing clinical (6 monthly) and ART refill (3 monthly) visit frequency, provide for community-based care, and recommend a stop to CD4 count monitoring where viral load is available.
The guidelines recommend three models of ART delivery for stable clients, and also describe mainstream care and mobile outreach for hard-to-reach communities. These are: facility fast-track models; facility-based treatment clubs (health care worker-managed group model) (specifically including teen and family club variants); and community-based ART groups (client-managed group model). The guidelines, together with the standard operating procedures for each model, set out the eligibility criteria and describe the services that take place at the ART refill visit versus the clinical visit, including when, by whom and where these services are provided with indications for up referral.
National Policy Guidelines For Community-Centred Models of ART Service Delivery (CommART) in Swaziland (June 2016)
