Delivering HIV care in challenging operating environments: the MSF experience towards differentiated models of care for settings with multiple basic health care needs

Charles Ssonko, Lucia Gonzalez, Anita Mesic, Marcio Silveira de Fonesca, Jay Achar, Nadia Safar, Beatriz Martin, Sidney Wong, Esther C. Casas

Countries in the West and Central African regions struggle to offer quality HIV care at scale, despite HIV prevalence being relatively low. In these challenging operating environments, basic health care needs are multiple, systems are highly fragile and conflict disrupts health care. Médecins Sans Frontières (MSF) has been working to integrate HIV care in basic health services in such settings since 2000. We review the implementation of differentiated HIV care and treatment approaches in MSF-supported programmes in South Sudan (RoSS), Central African Republic (CAR) and Democratic Republic of Congo (DRC).

August 3, 2017
Year of publication
Resource types
Journal and research articles
WEst Africa, Central Africa, HIV care, differentiated service delivery, differentiated care, differentiated models of care, Médecins Sans Frontières (MSF), integrated services, South Sudan, Central African Republic, Democratic Republic of Congo (DRC)