Understanding Differentiated Care for Improved HIV Service Delivery
Differentiated care is a client-centered approach that simplifies and customizes HIV services to meet the needs of diverse groups while reducing strain on healthcare systems. This method enhances client experience, improves health outcomes, and optimizes resource allocation. To implement differentiated care successfully, it is crucial to identify challenges, define target populations, and select appropriate strategies for service delivery across the HIV care continuum.
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Brief introduction to differentiated care An approach to service delivery www.iasociety.org
What is differentiated care? www.iasociety.org
Differentiated care is a client-centred approach that simplifies and adapts HIV services across the cascade to reflect the preferences and expectations of various groups of people living with HIV (PLHIV) while reducing unnecessary burdens on the health system. www.iasociety.org
Core principles of differentiated care Client-centred care Health system efficiency www.iasociety.org
Differentiated care is applicable across the HIV care continuum www.iasociety.org
Fox MP, Rosen S (2017) A new cascade of HIV care for the era of treat all. PLOS Medicine 14(4): e1002268. https://doi.org/10.1371/journal.pmed.1002268 http://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1002268 www.iasociety.org
Why differentiate ART delivery To improve client experience To improve health outcomes Leverage resources to treat all and achieve 90-90-90 www.iasociety.org
How to approach differentiating ART delivery 1. Identify client and health system challenges 2. Define for whom you are differentiating care 3. Determine the appropriate building blocks for differentiated ART delivery for your identified population www.iasociety.org
1. Identify the challenges www.iasociety.org
2. Define for whom we are differentiating ART delivery www.iasociety.org
3. Determine the building blocks www.iasociety.org
Example outcome Stable adults =>18 years + >12m on ART, 1 VL <1000copies/ml no current illness or adverse event requiring regular clinical follow-up www.iasociety.org
Community ART groups (CAGs) ART adherence clubs Health care worker-managed group Client-managed group Mobile outreach Fast track ART refill collection at facility Fixed community ART refill distribution Home ART delivery Facility-based individual Out-of-facility individual www.iasociety.org
www.iasociety.org Image : Interaction Institute for Social Change | Artist: Angus Maguire.
