Differentiated Service Delivery in Uganda
Uganda has adopted strategies to deliver differentiated HIV and TB services that address the needs of diverse populations. Uganda’s National Guidelines for HIV Care and Treatment outline the facility- and community-based models needed for people living with HIV, and reinforce the need for Monitoring and Evaluation (M&E) of differentiated service delivery (DSD), as well as continuous quality improvement (CQI) during implementation.
Uganda’s focus is on differentiated services for stable patients, as well as those who are co-infected with TB/HIV, pregnant women, children, and adolescents. Partners such as The AIDS Support Organization (TASO) have implemented pilots of management of patients at high risk of HIV disease progression. Uganda is aiming to review and update their package of care for patients at high risk, and finalize its M&E framework, including collection and reporting tools, and indicators in order to optimize DSD for patients at high risk.
Priorities related to differentiated service delivery for adolescents living with HIV include improving community-based care models for stable patients; further differentiation of adolescents by age, risk, and socioeconomic status; and creating standardized monitoring tools and guidance for the transition to adult care.
Technical experts from the Uganda MOH and CDC Uganda are participating in the CQUIN community of practice on M&E of DSD.