Differentiated Models of Care

Decongesting ART Clinics in Zambia and Improving Patients Retention Through Community Adherence Groups

Antiretroviral therapy (ART) services are often provided in standard, yet inefficient ways, making long-term it difficult for patients to stay on treatment long-term. Differentiated Models of Care (DMOC) reduce the cost for patients to stay on ART, can provide tailored ART support, reduce congestion in ART facilities and provide the foundation for patient-centered chronic disease wellness systems. The PEPFAR-supported Centers for Infectious Disease Research in Zambia (CIDRZ) has developed and is implementing Community-based Adherence Groups (CAGs). CAGs provide routine ART management to patients, decongest high-volume facilities, and minimize difficulties in accessing ART sites.