Differentiated Service Delivery for HIV and Non-Communicable Diseases

Non-communicable diseases (NCDs), such as cardiovascular disease, cancer, diabetes, and chronic respiratory disease, are the leading cause of death and disability around the world—and an increasing health threat for people living with HIV. As countries scale up differentiated service delivery (DSD), there is an opportunity to integrate screening for and management of NCDs into DSD models.

CQUIN supports member countries to explore and pilot approaches that enable recipients of care to receive both HIV and NCD services in an integrated fashion.

Community of Practice

In 2020, CQUIN launched a community of practice with the following objectives:

  • Showcase models of integrated HIV/NCD service delivery
  • Review key lessons learned, shared challenges, and opportunities
  • Highlight available resources/materials to share
  • Identify joint learning needs and activities for the group

The community of practice include 54 participants from 15 countries – Burundi, Cameroon, Côte d’Ivoire, Eswatini, Ghana, Kenya, Liberia, Mozambique, Nigeria, Rwanda, Senegal, Sierra Leone, South Africa, Uganda, Zimbabwe.

Virtual South-to-South Learning Exchange Meeting

Following its second community of practice meeting in September 2021, Eswatini and Kenya expressed interest in learning from each other, Kenya was interested in the process of implementing facility-based integrated models, and Eswatini was interested in learning how to integrate NCD management in community models. Both countries expressed the need for learning how to strengthen their M&E systems for facility- and community-based integrated DSD models.

The Kenya team included the ministry of health focal person for care and treatment and NCDs, USAID, implementing partners, and a representative for people living with HIV. The hosting team from Pigg’s Peak Hospital made a detailed presentation of the treatment club for people living with both HIV and NCDs including the club’s clinical and non-clinical activities, patient’s flow, NCDs and HIV treatment prescription and distribution, and monitoring and evaluation.  Subsequent calls will involve a presentation of community-based integrated models and M&E.

Satellites

20th International Conference on AIDS and STIs in Africa in Kigali, Rwanda 

On December 4, 2019, in a plenary session entitled “Integrating HIV Care with Emerging Infections, Co-morbidities, and NCDs,” Wafaa El-Sadr, MD, MPH, MPA, ICAP’s founder and global director, presented on integrating HIV care with emerging infections, co-morbidities, and non-communicable diseases (NCDs). “We must focus on the health needs of the people we serve,” said El-Sadr. “This compels us to seek the most effective ways to deliver the services they need in an integrated manner and at the highest quality. It is time to move from small pilot programs to scale-up NCD/HIV integration to confront these two epidemics.”

23rd International AIDS Society Conference on HIV Science (Virtual)

On July 6, 2020 ICAP in partnership with the International Treatment Preparedness Coalition, ITPC, hosted a satellite session on DSD and NCDs titled “Resilient Chronic Care Systems: Differentiated Service Delivery for People with HIV and Non-Communicable Diseases.” The meeting included presentations, and panel discussions with ministries of health representatives from Eswatini and Kenya, PEPFAR, MSF, and the recipient of care community.

Subsequently CQUIN hosted a webinar together with Resolve to Save Lives and the DSD Initiative of the International AIDS Society on the same topic on October 6, 2020.

Breakout Sessions

In December 2020, CQUIN hosted its Fourth Annual Meeting. Stakeholders and experts from ministries of health, IAS, RTSL, and networks of people living with HIV convened to discuss DSD interventions for people with HIV and NCDs in a parallel breakout session moderated by the Eswatini and Zimbabwe Ministries of Health.

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