Do DSD Models for HIV Treatment Save Money for Health Systems

Event Date: September 22, 2021 - September 22, 2021

On September 22, CQUIN partnered with Boston University’s AMBIT project to host a two-hour virtual workshop on differentiated service delivery (DSD) costing.

The workshop convened stakeholders from Ministries of Health, funders, academic organizations, recipients of care, and implementing partners to discuss country case studies, findings, and their policy implications.

Access the meeting agenda, recordings in English and French, and PowerPoint presentations below.


Time Session Who
9:00 – 9:10 Introductions/Welcome Kate Harris (BMGF) and Tom Minior (USAID)
9:10 – 9:15 CQUIN Opening Remarks/Housekeeping Peter Preko (CQUIN)
9:15 – 9:25 Framing Remarks/Intro to Costing Sydney Rosen (EQUIP/AMBIT)
9:25 – 9:35 Case study #1 (Zambia) Bevis Phiri (AMBIT)
9:35 – 9:45 Case study #2 (Uganda) Teresa Guthrie (EQUIP)
9:45 – 9:55 Case study #3 (Zimbabwe and Lesotho) Brooke Nichols (EQUIP/AMBIT)
9:55 – 10:05 Case study #4 (INTERVAL) Mariet Benade (EQUIP)
10:05 – 10:15 Synthesis (“take-home” messages) Lawrence Long (EQUIP/AMBIT)
10:15 – 10:25 Q&A Audience and presenters
10:25 – 10:50 Panel Discussion Eula Mothibi (EQUIP), Kate Ngugi (MOH Kenya), Josen Kiggundu (MOH Uganda), Anna Grimsrud (IAS)
10:50 – 11:00 Wrap up Kate Harris and Tom Minior



Access the slides in English | French

View the recording in English

View the recording in French

Moderator Bios

Kate Harris: A former economist with the Canadian Ministry of Finance and the Gavi Alliance, Kate Harris is currently a Senior Program Officer at the Bill & Melinda Gates Foundation where she leads the HIV Economics investment portfolio. 

Thomas Minior is the Adult Clinical Branch Chief with USAID. In this role, he works with over 20 countries to improve the availability and quality of HIV services. Dr. Minior is a board-certified internal medicine clinician and HIV specialist dedicated to universal access to HIV treatment.

Peter Preko is the Project Director for ICAP’s CQUIN Learning Network. Originally from Ghana, Dr. Preko is currently based at the ICAP office in Eswatini. Prior to joining CQUIN, he served in a variety of roles including being seconded to the Malawi MOH as the Senior HIV Care and Treatment Advisor and with CDC Eswatini from 2011 to 2016 as the PEPFAR Eswatini Care and Treatment Lead. 

Panelists & Speakers

Sydney Rosen is a research professor in the Department of Global Health at the Boston University School of Public Health and the Co-Division Head of the Health Economics and Epidemiology Research Office (HE2RO) of the University of the Witwatersrand in Johannesburg, South Africa.

Bevis Phiri is a public health professional with over six years of experience in project management and research, currently working as Program Associate- AMBIT at CHAI. He holds an MSc in International Public Health and a BA in Development Studies from Liverpool John Moores University and the University of Zambia, respectively.

Teresa Guthrie is a South African health economist involved in costing, budgeting, and financing of health interventions in East and Southern Africa. She was the PI for the Ugandan DSD cost-outcome study.

Brooke Nichols, PhD, MSc, assistant professor in the Department of Global Health at the Boston University School of Public Health, is a health economist and infectious disease mathematical modeler. Her research interests in the differentiated care space include economic evaluations and health systems modeling of differentiated models of care in southern Africa.

Mariet Benade is a South African physician interested in health systems strengthening. She currently works as a research fellow at the Boston University School of Public Health on projects related to differentiated service delivery and diagnostic network optimization in sub-Saharan Africa. 

Lawrence Long is currently a research assistant professor at Boston University’s School of Public Health in the Department of Global Health. He has a joint academic appointment at the University of Witwatersrand (South Africa) through the Health Economics and Epidemiology Research Office (HE2RO).  


Catherine Ngugi is the Head of NASCOP in Kenya. Her previous experience includes Program Manager at NASCOP; Medical Researcher at the University of Aukland; Senior Medical Doctor at the University of Aukland; and Medical Superintendent for the Ministry of Medical Services.

Josen Kiggundu is the national technical advisor for DSD for the AIDS Control Program in the MOH in Uganda. Dr. Kiggundu is a public health professional with training and practical experience in managing health programs within the public sector and NGO setting.

Eula Mothibi is a medical doctor and internal medicine specialist with 27 years’ experience in interdisciplinary disciplines of Clinical Internal medicine and Public Health Systems and services. Dr. Mothibi is one of the founding members of the EQUIP consortium and is now the Executive Director at Right to Care International.

Anna Grimsrud is the lead technical advisor for the International AIDS Society. Dr. Grimsrud focuses on supporting the implementation of differentiated models of ART delivery in sub-Saharan Africa.

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