Routine clinic visits for antiretroviral refills can cost people living with HIV hours of travel, queuing and time away from work or school. Drawing on South African experience with differentiated service delivery, this talk explores how facility fast-track collection, adherence clubs, community and pharmacy collection, and home delivery can reduce that burden. It considers how patients and care teams can choose a model that fits each person’s clinical needs, preferences and stage of life, with particular attention to children and adolescents.



The talk examines what makes these models safe in practice, including reliable medicine supply, clear responsibility for reviewing viral load results, follow-up after missed collections and rapid access to clinical review when needs change. It closes with a practical case and a brief look at how artificial intelligence might help care teams identify gaps in follow-up.