Table 4 Similarities and differences between the KP-CBART model in Benue State, Nigeria and ART adherence club model in Cape Town, South africa
| Â | KP-CBART model (2016) | ART adherence club model (2010) |
|---|---|---|
Location of service delivery | Benue, Nigeria | Western Cape Province, South Africa |
Target population | Key populations living with HIV (mention categories) | Stable patients older than 18Â years or more |
Policy environment | •Criminalization and punitive regulation of sex work •Criminalization of homosexual activities (imprisonment up to 14 years) •Hostile religious environment | •Criminalization and punitive regulation of sex work •Laws penalising same-sex sexual acts decriminalized, or never existed |
Health system | Vertical HIV programmes delivered by NGOs, not yet integrated into the public health system | The HIV programme is integrated into the public health system and is delivered by both the government and the NGOs |
Service delivery context | A safe space free of stigma and discriminination | A conducive, user-friendly environment to sensitize group members on health and wellbeing |
Type of differentiated service delivery model | Community-based, the same state but different locations | Facility-based; specific fixed location |
Goal | To improve access of KP to quality HIV services | To streamline treatment and care of stable patients |
Objectives | To address poor retention in care and sub-optimal adherence to ART among KP | To address poor retention in care, sub-optimal adherence to ART, and health care facility congestion among stable patients |
Implementation phase | Scale-up | Scale-up (roll out) |
Health care providers | A mix of lay health workers and professional health workers | Health worker-led |
Support group meetings and peer support | Yes | Yes |
Collaboration with CBOs | Collaboration with KP-led CBOS | Collaboration with local patient-led CBOs |