Research Articles

Feasibility, challenges, and lessons learned in implementing antiretroviral adherence club models in Northern Tanzania

Published in: African Journal of AIDS Research
Volume 24 , issue 3-4 : Entrepreneurship and Africa’s Cultural Context , 2024 , pages: 97–106
DOI: 10.2989/16085906.2025.2577800
Author(s): Ramadhani Abdul Amsterdam Institute for Global Health and Development, University of Amsterdam, the Netherlands, Lukas Van Duffel Doctors with Africa Collegio Universitario Aspiranti Medici Missionari (CUAMM), Tanzania, Giulia Martelli Doctors with Africa Collegio Universitario Aspiranti Medici Missionari (CUAMM), Tanzania, Edda Ndyamukama Joel Doctors with Africa Collegio Universitario Aspiranti Medici Missionari (CUAMM), Tanzania, Joyce Zacharia Misesemo Doctors with Africa Collegio Universitario Aspiranti Medici Missionari (CUAMM), Tanzania, Tobias F. Rinke de Wit Amsterdam Institute for Global Health and Development, University of Amsterdam, the Netherlands, Sayoki Mfinanga National Institute for Medical Research, Tanzania, Anton Pozniak Chelsea and Westminster Hospital NHS Foundation Trust, United Kingdom, Sabine Hermans Amsterdam Institute for Global Health and Development, University of Amsterdam, the Netherlands,
Keywords: adherence clubs, ART, CHW, community health workers, HIV, Tanzania,
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Abstract

Introduction: In Tanzania, nearly 1.6 million adults were living with HIV in 2022, with an HIV prevalence rate of 4.4%. We piloted community health worker-managed adherence clubs in two clinics in Shinyanga, Tanzania. We previously demonstrated better stability in care and improved treatment adherence following the establishment of clubs. This study evaluated referral back to the facility, feasibility, and challenges to inform potential scale-up.
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