Table 1
Summarized Outcomes of Medication Adherence Clubs and Community ART Groups.
| Medication Adherence Clubs | Community ART Groups | |
|---|---|---|
| Country | South Africa | Mozambique |
| Study Design | Cohort analysis and comparison club care vs. usual care | Retrospective cohort study (survival analysis) |
| Duration of follow-up (median per person) | 39 months [38–39] for those study participants (n = 502) | 19 months [10–29] (n = 5729) |
| Mortality | <1% at 40 months | 2.1 per 100 person-years |
| Loss to follow-up | 2.8% at 40 months | 0.1 per 100 person-years |
| Retention in care in program* | 97% at 40 months in club (n = 502) vs. 85% in usual care (n = 2327) | 97.7% at 12 months, 96.0% at 24 months, 93.4% at 36 months, 91.8% at 48 months |
| Cost per patient | $58 p/patient year in club vs. $109 in usual care | 49.6% reduction of clinic visits with reduction of 62% in ART refill visits |
| Patients currently enrolled (% active ART cohort) | 5909 (23%) Roll-out in Cape Town (Western Cape): 18,719—19% of overall ART cohort (98,233) | 8181 (50%) 17,272 patients in CAGs country wide (October 2013) |
[i] * Retention in care: total number of patients on ART care followed in the program (excluding those who are transferred out).
Table adapted from Bemelmans et al. (2014).
Figure 1
Groups of Sustainability Factors.