CQUIN Workshop: Delivering High-Quality Differentiated HIV Services at Scale Nairobi, Kenya

Event Date: June 23, 2019 - June 26, 2020

From June 23–26, 2019, the HIV Coverage, Quality, and Impact Network (CQUIN) convened 165 experts in Nairobi, Kenya to address the issue of quality in differentiated service delivery (DSD). The hands-on workshop aimed to enable CQUIN member countries to define DSD quality standards, monitor and evaluate DSD quality, and implement contextually appropriate, DSD-specific quality improvement projects.

Participants included representatives from ministries of health, civil society, national networks of people living with HIV, academic institutions, and PEPFAR implementing partners from eleven CQUIN countries. The World Health Organization, UNAIDS, the Global Fund, the International Treatment Preparedness Coalition, and the Bill & Melinda Gates Foundation were also represented.

The meeting featured plenary sessions, breakout sessions, lunchtime discussions, and a tools lab to maximize south-to-south learning.

“Earlier this year in Uganda, we scaled up quality improvement across the country. Along the way, we have had some challenges, so listening to the Kenya presentation was an important opportunity for learning,” said Cordelia Katureebe, national coordinator for HIV care and treatment for the Uganda Ministry of Health.

The voices of recipients of care were central to all meeting sessions. “I participated in three sessions just now and in each I had a chance to provide inputs into specific, quality-related tools. This is very important—it makes me feel that I’m not just a person to receive services, but that I can contribute something,” said Mathew Kawogo, manager of community mobilization and engagement for the National Council of People Living with HIV/AIDS in Tanzania.

As the meeting adjourned, CQUIN network members looked forward to continuing their work via a recently launched CQUIN community of practice focused specifically on quality in the context of DSD. Through the community of practice, ten CQUIN member countries are jointly creating a quality standards framework for differentiated treatment models and exchanging best practices for DSD quality assurance.

“The Q in CQUIN stands for quality,” explained Miriam Rabkin, director for health systems strategies at ICAP. “The network is designed to support countries to scale up high-quality DSD, and this meeting enabled a deep dive into what quality DSD looks like, how to measure it, and how to continuously improve it. We’re excited about the progress that was shared, and about the joint work we have planned for the future.”

To learn more about the workshop content, click below:



Opening Remarks

  • The Quality Imperative
    Dr. Miriam Rabkin, Director of Health Systems Strategies, ICAP at Columbia University

Keynote Address

Panel Presentations | Defining DSD Quality Standards: What Do We Mean When We Say “High-Quality” DSD?

  • The CQUIN Community of Practice for Quality and DSD
    Mr. Martin Msukwa, Regional Quality Improvement Advisor, ICAP at Columbia University
  • Recipient of Care Preferences for DART Models in Harare, Zimbabwe: A Discrete Choice Experiment
    Dr. Clorata Gwanzura, Differentiated Care Medical Officer: HIV Care and Treatment, Zimbabwe Ministry of Health and Child Care
  • Mr. Nelson Otwoma, Executive Director, National Empowerment Network of People Living with HIV/AIDS, Kenya

Breakout Session | Country Teams Paired to Discuss DSD Quality Standards and Challenges

Panel Presentations | Measuring DSD Quality: How Do We Know If We’re Delivering High-Quality DSD?


Keynote Address

Panel Discussion | Quality Improvement Case Studies

Tools Lab

Parallel Breakout Sessions | Root Case Analysis of Priority Quality Challenges



Keynote Address

Parallel Breakout Sessions | Achieving Quality for Specific DART Models

Breakout Session | Individual Country Team Strategies


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