Differentiated Care Approach in HIV Service Delivery
Explore how differentiated care is revolutionizing HIV service delivery by shifting the focus to client-centered approaches. Learn about the current challenges in facility-based care, the needs of people living with HIV, best practices from various countries, and innovative ways to provide differentiated care. Discover the key strategies to maintain client retention and enhance overall well-being in the fight against HIV/AIDS.
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Putting the client at the centre of differentiated care by Janet Tatenda Bhila #AIDS2016 | @AIDS_conference
Where we are now 95% estimate of HIV service is currently facility based It is based on a one size fits all clinic based model What is differentiated care? #AIDS2016 | @AIDS_conference
Needs of PLHIV Adherence and retention support (viral load monitoring, support in switching to a different line of medicine) Clinical support Reduced frequency of clinical visits Peer and social support #AIDS2016 | @AIDS_conference
Differentiated Care Framework #AIDS2016 | @AIDS_conference
Best Practices Malawi- Appointment spacing for clinical and drug refill or visit South Africa- peer educator led ART refill groups DRC- community ART distribution points Mozambique and Zimbabwe- Patient led and community ART refil groups These have proven to reduce time and cost of travel to clinic and less income loss All these are done to maintain and retain clients in care, to avoid attrition #AIDS2016 | @AIDS_conference
The Client #AIDS2016 | @AIDS_conference
Ways of differentiating care Cognitive Behavioural Therapy (CBT) More time to express depression, or anxiety Home visits CARGS/CATS Reduce stigma Adolescent clubs Remunerate nurses,counsellors Increase doctors at point of care #AIDS2016 | @AIDS_conference