Advancing the Coverage, Quality, and Impact of HIV Services

The HIV Coverage, Quality, and Impact Network (CQUIN) is a multi-country learning network dedicated to improving differentiated service delivery (DSD) for people living with HIV.

The network convenes health system leaders from countries in sub-Saharan Africa to participate in joint learning and information exchange, with the goal of fostering scale-up and spread of high-quality differentiated services. Representatives from ministries of health, implementing partners, civil society, associations of people living with HIV, and donor agencies work to scale-up DSD, relative to each country’s unique needs. The network supports experience sharing, peer-to-peer learning, and collaborative problem solving.

Learn more about differentiated service delivery and our members and projects.

By 2020, network countries will take DSD to scale, enabling more people living with HIV to initiate and sustain high-quality treatment, improving individual health, and achieving population-level impact.

Our Approach

Most models of DSD have focused on treatment for clinically stable adults living with HIV in high-prevalence settings. Few of these models have been taken to scale, and there is little experience with DSD for unstable patients or those with advanced disease. We seek to support countries to take DSD to scale by fostering experience sharing by countries facing similar challenges. We encourage our members to learn about and work toward implementing models of care for patients across the disease spectrum, including those who are unstable or have advanced disease.

The network enables countries to share experiences, innovations, and best practices so they can move differentiated service delivery from pilot projects to national programs.”

-Dr. Peter Preko, CQUIN Project Director

Frequently Asked Questions

What is CQUIN?

CQUIN stands for the HIV Coverage, Quality, and Impact Network, a network of countries and stakeholders dedicated to improving HIV care and treatment by advancing DSD.

What does the network do?

We foster learning and collaboration among our members. We encourage and facilitate south-to-south exchange and experience sharing through communication and learning opportunities. We also provide support and expert guidance for countries implementing projects and conducting research on DSD.

What is differentiated service delivery? How is it different from differentiated care?

Differentiated service delivery is a patient-centered approach to HIV prevention, care, and treatment. Moving away from a one-size-fits-all model, DSD tailors HIV services to different groups of people living with HIV while maintaining the basis of the public health approach – simple, standardized, and evidence-based approaches to HIV prevention and treatment – that have led to success.

Find out more about differentiated service delivery.

Can I join the network?

We encourage anyone interested in learning more about our network to contact us directly at icap-cquin@columbia.edu.

How is the network funded?

The network is supported by the Bill & Melinda Gates Foundation.

Who belongs to the network?

Representatives from ministries of health of sub-Saharan African countries and stakeholders in public health and philanthropy.

How do network members communicate?

We foster south-to-south exchange of ideas and resources through the CQUIN website, conferences and workshops, meetings, and email updates. We also share up-to-date news and information related to DSD through a quarterly newsletter. Sign up here.