Counselling and treatment literacy remain critical to the early treatment period in South Africa

By  Dr Mhairi Maskew  Nancy Scott  Dr. Nyasha Mutanda  Allison Morgan  Dr. Linda Sande  Vinolia Ntjikelane  Mariet Benade  Professor Sydney Rosen  |  | 


  • The first six months after ART initiation or re-initiation (early treatment period) are associated with very high
    treatment interruption and disengagement from care.
  •  Implementation of rapid ART treatment initiation and lower intensity treatment models have reduced counselling and treatment education before initiation.
  • In the early treatment period, multiple sessions conducted over several months have been reduced to a single session on the same day a client tests positive and initiates ART.
  • Little is known about contemporary experiences of and preferences for counselling and literacy during this early treatment period.

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