Read the Annual Meeting Report
Also available with French and Portuguese Introduction and Executive Summary
Fostering Scale-Up of Differentiated Service Delivery to Achieve Sustainable Epidemic Control
The HIV Coverage, Quality, and Impact Network (CQUIN) held its annual meeting from February 13-15 in Maputo, Mozambique. Representatives from ministries of health in nine CQUIN countries gathered, along with implementing partners, donors, civil society, and UN agencies, to review lessons from the first year of CQUIN, and work toward the scale-up of differentiated service delivery (DSD) for HIV.
The meeting allowed network countries to review global DSD best practices, assess their progress, exchange tools and resources, and identify their priorities for 2018. It also allowed ICAP, as the convening organization, to receive feedback from network members and advisory group members on the network’s performance and priorities for its second year.
The three-day meeting explored topics related to CQUIN’s communities of practice and country priorities for scaling up DSD. Each day had a theme based on CQUIN’s three major focus areas: Coverage, Quality, and Impact. Plenary presentations and panel discussions focused on including mapping the scale-up of DSD, optimizing treatment, and DSD for patients at high-risk of advanced HIV disease progression. Participants took a deeper dive in breakout groups on a range of topics, from monitoring and evaluation (M&E) of DSD, to building a learning network
Representatives from Ethiopia, Kenya, Malawi, Mozambique, South Africa, Swaziland, Uganda, Zambia, and Zimbabwe attended the meeting. Country teams included representatives from ministries of health, civil society, academic institutions, and PEPFAR implementing partners. Representatives from the Bill and Melinda Gates Foundation, the U.S. Centers for Disease Prevention and Control (CDC), the World Health Organization (WHO), the United Nations Children’s Fund (UNICEF), the Joint United Nations Programme on HIV and AIDS (UNAIDS), the Global Fund (GF), the Elizabeth Glazer Pediatric AIDS Foundation (EGPAF), Médecins Sans Frontières (MSF), the International AIDS Society (IAS), the International Treatment Preparedness Coalition (ITPC), and the Global Forum on MSM and HIV (MSMGF), also attended.
Read the Annual Meeting Report
Also available with French and Portuguese Introduction and Executive Summary
The ICAP Approach to Differentiated Service Delivery
Tuesday (February 13) Presentations
Wednesday (February 14) Presentations
Thursday (February 15) Presentations
DAY 1
Session 1: Setting the Scene
Epidemic Control: Successes, Challenges and the Promise of Differentiated Service Delivery
Dr. Wafaa El-Sadr, ICAP Global Director
Progress in Uptake of Differentiated Service Delivery Approaches
Dr. Nathan Ford, Scientific Officer, Department of HIV/AIDS and Global Hepatitis Programme, WHO
CQUIN Update
Dr. Peter Preko, CQUIN Project Director
What Works for Me: A Community Perspective on Differentiated Service Delivery
Ms. Solange Baptiste, Executive Director, International Treatment and Preparedness Coalition (ITPC)
Session 2: Panel Discussion – Mapping DSD Scale-Up
Ms. Andrea Schaaf (ICAP NY): DSD Scale-Up: Results from an 11-Country Facility-Based Survey
Dr. Maureen Syowai (ICAP Kenya): Tracking DSD Program Maturity with the CQUIN Dashboard
Dr. Ade Fakoya (Global Fund): DSD: The View from the Global Fund
Dr. Isaac Zulu (CDC): DSD: Mapping DSD in PEPFAR Supported Countries
Session 3: Panel Discussion – Taking DSD for Stable Patients to Scale
Dr. Baker Bakashaba (TASO Uganda): Demand Generation for DSD in Uganda
Dr. Aleny Couto (MOH Mozambique): Taking CAGs to Scale in Mozambique
Dr. Kigen Bartilol (NASCOP Kenya): Kenya’s National Scale-Up Plan
Dr. Alemthshey Abebe (FMOH Ethiopia): Appointment Spacing in Ethiopia
Dr. Andrew McKenzie (Health Partners Intl): Adherence Clubs in the Western Cape, South Africa
Session 4: Panel Discussion – Optimizing Treatment at Scale
Mr. Phil Roberts (Last Mile, SA): Community-Based ART Pickup Points
Mr. Joao Teixeira (GHSC/PSM): Warehouse and Distribution Optimization for DSD
Dr. Nandita Sugandhi (ICAP NY): Introduction of New ARVs: Implications for DSD
Mr. Charles Kiyaga (ASLM): DSD: Laboratory Barriers and Facilitators
Mr. Nick Tan (University of Washington): DSD Costing Review
DAY 2
Session 5: Panel Discussion – Beyond “Stable” Patients (part 1)
Dr. Jeffrey Walimbwa (ISHTAR Kenya): Differentiated Services for MSM
Dr. Anna Grimsrud (IAS): Cape Town Workshop on DSD for Key Populations
Dr. Maurine Murenga (NEPHAK Kenya): Engaging Women and Girls
Dr. Ruby Fayorsey (ICAP NY): What Do Adolescents Want from DSD? Results of a Survey in Kenya
Session 6: Panel Discussion – Beyond “Stable” Patients (part 2)
Mr. Ben Cheng (iCAHD): The International Consortium on Advanced HIV Disease
Dr. Enos Masini (WHO Kenya): Patient Pathway Analysis for DSD of TB in Kenya
Dr. Tom Ellman (MSF): DSD for Sex Workers and Mobile Populations
DAY 3
Session 10: Measuring Impact – Monitoring, Evaluation & Research
M&E of DSD: Challenges and Lessons Learned
Dr. Bill Reidy, Epidemiologist, ICAP at Columbia University
Dr. Peter Ehrenkranz, Senior Program Officer, HIV Treatment, Bill & Melinda Gates Foundation
DSD Research Priorities
Dr. Charles Holmes, Georgetown University Center for Global Health and Quality
Session 11: Panel Presentation – M&E of DSD
Clorata Gwanzura (MoHCC Zimbabwe): The CQUIN M&E Community of Practice
Ivan Lukabwe (MOH Uganda): M&E of DSD Using Paper-Based Records
Munyaradzi Pasipamire (MOH Swaziland): M&E of DSD with Electronic Medical Records
Ivan Teri (EGPAF): Lessons from EGPAF Project
Poster Presentations
CQUIN M&E Consultation to Swaziland National AIDS Program
Designing Service Hours to Maximize Home-Based HIV Testing of Men – Mozambique 2016
Differentiated Service Delivery: The Siaya County Demonstration Project in Kenya
Implementation of the Outreach Model in Mwenezi, Zimbabwe, 2017
Project Last Mile in South Africa
Taking DSD to Scale in Kenya: A National Roadmap for Model Implementation
Taking DSD to Scale in Malawi: Expanding Models of Care for Impact
Taking DSD to Scale in Mozambique: Expanding Community ART Groups through Evidence
Taking DSD to Scale in South Africa: Expanding Client Choices through Innovation
Taking DSD to Scale in Swaziland: Lessons from CommART Implementation
Taking DSD to Scale in Uganda: Diverse Models for HIV Care and Treatment
Taking DSD to Scale in Zambia: Using Diverse DSD Models to Achieve Coverage, Quality, and Impact
Taking DSD to Scale in Zimbabwe: Progress in Implementation
Additional Resources
What Works for Me: Activist Toolkit on Differentiated Service Delivery (English)
Patient- and Program-level M&E of DSD for HIV: A Pragmatic and Parsimonious Approach is Needed
Differentiated Service Delivery for Adults at High Risk of HIV Disease Progression: A Call to Action