TABLE 2.

Components and Levels of Support Provided by CATS to Children, Adolescents, and Young Adults Living With HIV in the Africaid Zvandiri Program, Zimbabwe

Standard Zvandiri SupportEnhanced Zvandiri Support
Eligibility criteria

  • Undetectable viral load or CD4 count >500 cells/ml in the last 6 months

  • Attended all scheduled clinic visits in the last 3 months

  • Psychologically stable

  • Safe

  • A detectable viral load or CD4 count <500 cells/ml in the last 6 months

  • Failed to attend scheduled clinic visits in the last 3 months

  • Psychological distress

  • Abuse or neglect

  • Started ART in the past 3 months

  • Reported nonadherence

  • Pregnant

CATS-led interventions

  • Monthly home visit

  • Weekly SMS reminders

  • Clinic-based counseling

  • Referrals and linkages, particularly for severe cases, to other service providers

  • Home visit every 2 weeks

  • Daily SMS reminders

  • Clinic-based counseling

  • Referrals and linkages, particularly for severe cases, to other service providers

CATS-supported interventions

  • Monthly support group

  • Caregiver workshop

  • Monthly support group

  • Caregiver workshop

  • Adherence workshop

  • Community outreach with CHWs/CCCWs

  • Abbreviations: CATS, community adolescent treatment supporters; CHWs, community health workers; CCCWs, child case care workers.