Closer to Home: Delivering ART in the Community

Experiences from Four Countries in Southern Africa

“Médecins Sans Frontières (MSF), in association with health facilities and medical practitioners, has been an early innovator and implementer of community-based models of ART delivery in sub-Saharan Africa. Four countries with MSF-supported community-based programs (Malawi, Mozambique, South Africa, and the Democratic Republic of the Congo) are highlighted in this UNAIDS-supported report. They provide a range of models for potential wider implementation depending on the epidemiological and health system contexts.

Each model has developed specific solutions to cover the following core activities for providing ART over the long term: minimal clinical screening; ARV refills; adherence support and defaulter tracing; strict monitoring of attendance and problem solving; and encouraging self-efficacy and mutual support. This report describes MSF’s activities in supporting community-based organizations in their interaction with local health structures to scale-up access to ART.”

Closer to Home: Delivering ART in the Community