Abstract

In 2014, WHO recommendations for ART changed, from initiating antiretroviral therapy (ART) for individuals with fewer than 500 CD4 cells per μL to initiating ART immediately after testing HIV-positive.1 As these guidelines have been implemented across low-income and middle-income countries (LMICs), the number of individuals on ART has increased substantially. Health workforce capacity has not kept up.2–4 With The number of patients assigned to each care team expanding in resource-limited settings, policy makers and health ministries have been appropriately pushing for more efficient health-care service models.

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