Funding for this research was provided by:
Bill and Melinda Gates Foundation (investment ID 27917)
Received: 18 September 2017
Accepted: 13 March 2018
First Online: 25 April 2018
: Hayley MacGregor is a medical anthropologist and co-leads the Health and Nutrition research cluster at the Institute of Development Studies. She originally completed medical training in South Africa. Andrew McKenzie is a public health doctor with extensive experience in strengthening health systems in sub-Saharan Africa. Tanya Jacobs is an independent consultant in public Health in South Africa. Angelica Ullauri has just completed a MPH at the University of Cape Town and was involved in the health systems and epidemiological component of the adherence club evaluation.
: The full project was approved by the Human Research Ethics Committee, University of Cape Town Faculty of Health Sciences, HREC REF 535/2015. Permission was also granted by the Western Cape Provincial Department of Health to work in the sample of facilities. Informed consent was obtained prior to all interviews.
: Professor Andrew Boulle has reviewed this manuscript as Principal Investigator of the UCT-held grant from the Bill and Melinda Gates Foundation and approved publication of the material. Written informed consent was obtained from the interview participants for reference to their anonymised views in the analysis of this manuscript. The consent forms are held by the authors and are available for review by the Editor-in-Chief.
: The authors declare that they have no competing interests.
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