 This study proposes to refine and test a HIV-care model which utilizes CHWs and PLWHIV participating in their own care. The traditional ART-care model requires that patients attend monthly to every 4 monthly clinic visits conducted by a physician, clinical officer CO or a nurse. This model utilizes significant health worker and patient time resources,patient monetary resources for travel,and is a care-model disconnected from the local community. This proposal shifts the paradigm from intensive clinic-based supervision of ART-delivery to monitoring by community-based cooperative groupsART Co-ops. We believe this innovative model will:1decrease the amount of healthcare worker resources required to provide HIV-care;2decrease costs;3improve retention in care;and 4increase access to ART and 5 maintain the durability of a patients ART regimen with limited health encounters.Given that this model utilizes systems and stakeholders already present in the community we believe that it is scalable to other resource constrained environments.ART Co-ops would provide a logical gateway from the community to HIV-clinics for HIV-infected individuals identified during Test and Treatinitiatives and a community-based health resource for all HIV infected individualsi.e., index partners in a discordant relationship and pregnant women. 