FPD received funding from the Global Fund to implement ART adherence clubs (ACs) in five districts across three provinces. The ART ACs assisted to decongest crowded facilities, streamline ART patients’ access to treatment and screening services and maintain overall high adherence and retention rates. ACs clubs have extended their operational activities to include some community based ACs. The decongestion of facilities has been further supported by the introduction of the CCMDD project and this has manifested in fast lane collection of medicines in the facilities, the distribution of medicines via ACs and the registration of private pick up points (PUPs). A total of 51 999 patients are receiving care and support in the five supported Districts as of December 2018 at Facility level.