PEBRA (Peer-Educator-Based Refill of ART)

  • Adolescents face particular challenges in accessing and adhering to therapy.

  • In close collaboration with different local stakeholdersin Lesotho, we designed a service delivery and health care model specifically for adolescents, called the PEBRA model. The PEBRA model is delivered and coordinated by a peer-educator and a tablet application (PEBRApp) In the PEBRA model, a peer-educator first assesses the HIV service preferences of their peers, and then differentiates the services according to these preferences in a feasible manner.

  • Find the detailed components of PEBRA model outlined below:

“May the young person living with HIV live better thanks to…?”

Regular assessment of preferences
Service delivery according to preferences
Close contact to Peer-Educator
A peer helping him/her navigating through the health system


ART Refill

  • At the Clinic
  • Village Health Worker
  • Peer-Educator
  • Community Adherence Club
  • Treatment Buddy

SMS notifications

  • Adherence reminders
  • Refill visit reminders
  • Viral load result message


  • By the nurse at the clinic
  • Saturday Clinic Club
  • Community Youth Club
  • Phone Call by Peer-Educator
  • Home-visit by Peer-Educator
  • School visit and health talk by Peer-Educator
  • Pitso visit and health talk by Peer-Educator
  • Condom demonstration
  • More information about contraceptives
  • More information about VMMC
  • For pregnant: Linkage to young mothers group (DREAMS or Mothers-to-Mothers)
  • For female: Linkage to a female WORTH group (Social Asset Building Model)
  • More information about gender-based violence / legal aid
  • No support wished

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