Patients on ARV treatment will be strongly encouraged to identify an adherence assistant. The adherence assistant is any person identified by the patient to help him/her with ARV medications, e.g. a family member, friend, colleague, or community member. When necessary, patients with special needs can be assisted by counsellors and social workers.
During their monthly visit to the CTC, each patient will participate in a lifestyle counselling session. This time will be used to reinforce key behaviours relating to adherence strategies; disease management; transmission risk reduction; nutrition and adverse event management. Counselling will also focus on psychosocial issues such as disclosure of HIV status, assistance with social support and mental health.