Scale of differentiated service delivery implementation in HIV care facilities in low‐ and middle‐income countries: a global facility survey
In 2019, DSD was available in most HIV care facilities globally but was not evenly implemented across regions and HIV services. Most offered facility-based DSD for HIV treatment models and 3MMD for clinically stable clients. Efforts to expand DSD for HIV testing and ART initiation and to offer longer MMD can improve long-term retention in care of people living with HIV in LMICs, while further alleviating the operational burden on healthcare services. These findings from the pre-COVID-19 era underline the need for strengthening DSD in HIV care, which remains at the centre of current efforts towards client-centred care.
Authors
- Kathy Petoumenos (ORCID: https://orcid.org/0000-0001-7534-7154)
- Elizabeth Zaniewski (ORCID: https://orcid.org/0000-0003-1986-2359)
- Karen Malateste
- Kara Wools‐Kaloustian (ORCID: https://orcid.org/0000-0002-3277-4452)
- Jacqueline Huwa (ORCID: https://orcid.org/0000-0001-8786-2487)
- Yanink Caro‐Vega (ORCID: https://orcid.org/0000-0001-9212-1560)
- Vohith Khol
- Dominique Nsonde
- Nathalie V. Fernández Villalobos (ORCID: https://orcid.org/0000-0001-7560-5256)
- C. William Wester (ORCID: https://orcid.org/0000-0002-8375-3926)
- Matteo Secco
- Marie Ballif (ORCID: https://orcid.org/0000-0003-3133-3011)
- Rogers Ajeh (ORCID: https://orcid.org/0000-0002-5361-5063)
- Shamim M. Ali
- Fabrice Helfenstein (ORCID: https://orcid.org/0000-0001-8412-0461)
- Carolyn Bolton‐Moore (ORCID: https://orcid.org/0000-0001-9103-7746)
- Barbara Castelnuovo (ORCID: https://orcid.org/0000-0001-7756-5032)
- O.E. Takassi
- Thierry Tiendrebeogo (ORCID: https://orcid.org/0000-0002-9393-9732)
- Geoffrey Fatti (ORCID: https://orcid.org/0000-0002-6467-662X)
- Gad Murenzi (ORCID: https://orcid.org/0000-0002-5513-5522)
- Rita Lyamuya
- Sasisopin Kiertiburanakul (ORCID: https://orcid.org/0000-0003-4379-4704)
- Jorge Pinto
- Christella Twizere
- Siew Moy Fong
- Djimon Marcel Zannou
- Idiovinio Rafael
Institutions
- Universidade Federal de Minas Gerais (BR)
- University of Bern (CH)
- Centre for Infectious Disease Research in Zambia (ZM)
- Western Cape Department of Health (ZA)
- University of Buea (CM)
- Moi University (KE)
- Université de Bordeaux (FR)
- Mahidol University (TH)
- Stellenbosch University (ZA)
- University Hospital of Bern (CH)
- Muslim University of Morogoro (TZ)
- UNSW Sydney (AU)
- University of Alabama at Birmingham (US)
- Lighthouse Trust (MW)
- Bordeaux Population Health (FR)
- National Center for HIV/AIDS, Dermatology and STD (KH)
- Centre Hospitalier et Universitaire de Brazzaville (CG)
- Infectious Diseases Institute (UG)
- Centre National Hospitalier et Universitaire Hubert Koutoukou MAGA (BJ)
- Rwanda Military Hospital (RW)
- Kheth’Impilo (ZA)
- Institute of Social and Preventive Medicine (CH)
- Ramathibodi Hospital (TH)
- Instituto Evandro Chagas (BR)
- Instituto Superior Politecnico de Tete (MZ)
- University of Lomé (TG)
- Indiana University School of Medicine
- Fundação Oswaldo Cruz (BR)
- Indiana University – Purdue University Indianapolis (US)
- Makerere University (UG)
- Vanderbilt University Medical Center (US)
Publication Details
- Journal
- Journal of the International AIDS Society
- Published
- 2025-07-01
- DOI
- https://doi.org/10.1002/jia2.26477
- Citations
- 1
- Primary Topic
- HIV/AIDS Research and Interventions
- Type
- article
- Field-Weighted Citation Impact
- 1.40
Funders
- National Institute of Allergy and Infectious Diseases
- Fogarty International Center
- National Center for Advancing Translational Sciences