Marion Robinson worked as a psychologist at the MSF hospital in Qayyarah, a town some 70 kilometres from Mosul, in Iraq’s Ninewa governorate. It had been under the control of the Islamic State (IS) group for two and a half years before the Iraqi army retook control of the area at the end of August 2016.
Patients are deemed stable after a minimum of six months on ART without side effects or Opportunistic Infections and with a CD4 count above 200 cells/μl.
In the last five years, the number of people in South African health facilities receiving life-saving antiretroviral treatment (ART) in the last five years has grown from 382,000 to more than 1.79 million. However, South Africa’s National Strategic Plan aims to put more than 3 million people on ART by 2016. As numbers nearly double, the health service will struggle to retain and manage such a high number of patients in care. Adherence club models offer a long term solution to manage stable patients.