Adherence clubs are a way for people living with HIV to collect their ARVs outside of their local clinic. Instead they join an adherence club where they can collect their medication and join discussions about issues of treatment adherence. This is a much friendlier, simpler and quicker system than waiting in long clinic queues. Not only do the clubs promote better adherence but they also relieve the burden on health facilities that are already stretched to capacity. Given the increasing uptake of HIV treatment through “Test and Treat” this burden will only grow. TAC and Médecins Sans Frontières (MSF) piloted our adherence clubs in clinics and communities across Khayelitsha in the Western Cape in 2007. The outcomes showed that people attending clubs adhered to treatment at much higher rates than people attending clinics. We are pushing for the Department of Health to roll out adherence clubs across the country.