differentiated models of ART delivery
Differentiated service delivery (DSD) has increasingly become the norm for HIV service providers and their clients; and not a moment too soon. In southern Africa, we are all too familiar with the one-size-fits-all approach to service delivery and the resulting challenges of overburdened facilities, long queues, exhausted healthcare workers, and poor client adherence.
This Framework draws purposeful attention to men who have sex with men, transgender people, people who inject drugs and sex workers. The framework outlines the methodology for identifying specific challenges, deciding what DSD models may solve these challenges and how to systematically adapt or build a differentiated model of ART delivery for a specific key population.
A Decision Framework for differentiated antiretroviral therapy delivery for children, adolescents and pregnant and breastfeeding women
A Decision Framework for ART Delivery for children, adolescents and pregnant and breastfeeding women, or the Decision Framework for Specific Populations as it is referred to throughout this document for ease, is aimed at supporting HIV programme managers at the national and district level to adapt or build differentiated models of ART delivery.
High rates of retention and viral suppression in the scale-up of antiretroviral therapy adherence clubs in Cape Town, South Africa
Increasingly, there is a need for health authority scale up of successfully piloted differentiated models of antiretroviral therapy (ART) delivery. However, there is a paucity of evidence on system-wide outcomes after scale-up. In the Cape Town health district, stable adult patients were referred to adherence clubs (ACs) – a group model of ART delivery with five visits per year. By the end of March 2015, over 32,000 ART patients were in an AC. We describe patient outcomes of a representative sample of AC patients during this scale-up.