Table 3 Personnel required to operate the adherence club and their responsibilities
Cadre category | Personnel type | Responsibility |
|---|---|---|
Club Manager | • Medical doctor • Professional nurse | • Ensure that the Standard Operating Procedures are adhered to • Schedule annual return dates for club visits • Perform six monthly scripting of club patients • Monitor outcomes |
Club Nurse | • Professional nurse | • Responsible for seeing patients who present with unexpected weight-loss and/or symptomatic for opportunistic infections and or adverse drug reactions • Collects blood for annual viral load and CD4 count screenings |
Club Facilitator | • Clinic counsellor • Community health worker | • Preparing and running the club sessions • Making sure pre-pack medications are available and distributing them • Filling in the club register • Giving peer education and counselling |
Pharmacist | • Pharmacist • Pharmacy assistant | • Ensures scripts are submitted and pre-packs are received and correct • Dispensing the ARVs and packaging the medication for the clubs (Chronic Dispensing Unit) |
Data capturer | • Data capturer | • Captures the information on the club activities including the visit, the weight and any results entered. |
‘Expert’ patient | • Patient | • Could be involved in medication distribution • Could also contribute to group education |