The HIV Coverage, Quality, and Impact Network (CQUIN) held its workshop on the science and practice of differentiated service delivery (DSD) scale-up from June 26-29 in Ezulwini, Eswatini. Representatives from ministries of health in ten CQUIN countries gathered, along with implementing partners, donors, civil society, and U.S. Government agencies, to share best practices and lessons learned that would enable each country team to develop a road map towards achieving national coverage of DSD services.

The three day meeting was designed to foster intensive south-to-south consultation on national scale up strategies and to catalyze progress within each country towards scale-up. It focused on three key facilitators of DSD scale-up: engaging recipients of care and communities to increase demand for and support of DSD services, optimizing human resources to support DSD; and effective utilization of routine viral load test results for patient management.

The workshop included plenary presentations, panel discussions, and breakout- and report-back sessions. Plenary presentations and panel discussions focused on topics ranging from fostering engagement among people living with HIV and demand generation, to viral load utilization. Participants took a deeper dive in breakout sessions, where country country teams reviewed their existing DSD work plans, with an eye to accelerating scale-up and addressing key barriers and facilitators. County teams were paired and asked to provide feedback on each other’s scale-up plans.

Read the full report

View the Agenda

View the Concept Note

The ICAP Approach to Differentiated Service Delivery

Wednesday (June 27) Presentations

Thursday (June 28) Presentations

Friday (June 29) Presentations

Photos

 

DAY 1

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Session 1: Welcome and Framing Remarks

Framing Remarks
Dr. Miriam Rabkin, CQUIN Principal Investigator

Update on the CQUIN Network
Dr. Peter Preko, CQUIN Project Director

Session 3: DSD Scale-Up in 2018: Where Are We Now?

Taking Innovations to Scale – Lessons from MNCH
Dr. Neil Spicer, Assistant Professor in Global Health Policy, the London School of Hygiene & Tropical Medicine (LSHTM)

A Systems Thinking Approach to Scaling Up Adherence Clubs in Western Cape
Dr. Andrew McKenzie, Technical Lead for Governance, Policy and Planning, Health Partners International

World Bank Evaluation of DSD Scale-Up in South Africa
Lillian Diseko, Program Manager, HIV, AIDS and STI Cluster, NDOH South Africa

DAY 2

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Session 6: Plenary Presentation – Fostering Engagement and Generating Demand

Supporting Community Observatories in West Africa
Ms. Solange Baptiste, Executive Director, International Treatment and Preparedness Coalition (ITPC)

Session 7: Panel Discussion – Greater Involvement of PLHIV in DSD Policy and Planning

Ms. Maureen Milanga (Health Global Access Project [Health GAP]): Engaging Clients and Communities in PEPFAR Planning in Kenya

Ms. Albertina Nyatsi (Positive Women Together in Action): Engaging Clients and Communities in Global Fund Planning in Eswatini

Mr. Gavin Khumalao (Swaziland National Network of People Living with HIV [SWANNEPHA]):Engaging Clients and Communities on Community Advisory Boards for the MaxART Study in Eswatini

Session 8: Panel Discussion – Demand Creation for DSD

Dr. Baker Bakashaba (The AIDS Support Organization [TASO] Uganda): TASO Experience

Amenan Agnes Kouassi (RIP+ Côte d’Ivoire): Civil Society Engagement in Côte d’Ivoire

Mr. Tonderai Mwareka (Zimbabwe National Network of People Living with HIV [ZNNP+]): Demand Creation for DSD

Mr. Jeffrey Walimbwa (ISHTAR Kenya): Differentiated Services for MSM

Mr. Dennis Mseu (Malawi Network of Religious Leaders Living with HIV/AIDS [MANARELA+]): Mobilizing the Faith Community to Build Demand for DSD and HIV Testing Services in Malawi

DAY 3

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Session 10: Plenary Presentation – Scaling Up Viral Load Services in Manzini

Altaye Kidane (ICAP Swaziland)

Session 11: Panel Discussion – Viral Load Utilization

Mr. Getachew Kassa (ICAP New York): Why Don’t We Use VL Results?

Dr. Lily Nyaga (NASCOP Kenya): A QI Collaborative to Improve VL Utilization in Western Kenya

Dr. Rochelle Adams (Center for the AIDS Programme of Research in South Africa [CAPRISA]: CAPRISA’s VL Priority Utilization in Malawi

Dr. Michael Odo (University Research Co. [URC] Malawi): Improving VL Utilization in Malawi

Session 13: HRH

Dr. Judy Khanyola (ICAP Kenya): Implications of DSD for the Nursing Workforce

Dr. Priscilla Lumano-Mulenga (MOH Zambia): Community HIV Providers and the Scale-Up of DSD Services

Dr. Josen Kiggundu (MOH Uganda): Modeling Health Workforce Needs in the Context of DSD

 

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Additional Resources

Guide for Monitoring Scale-up of Health Practices and Interventions

Nine Steps for Developing a Scaling-Up Strategy

Scaling Up—From Vision to Large-scale Change: A Management Framework for Practitioners

Past Meeting Summaries

The CQUIN Launch Meeting

DSD for Adults at High Risk of HIV Disease Progression

DSD for Adolescents Living with HIV

The CQUIN Annual Meeting

Read the full report

Also available with French and Portuguese Introduction and Executive Summary