DSD for Advanced HIV Disease and People at High Risk of HIV Disease Progression

The evidence base for less-intensive differentiated service delivery (DSD) models for people doing well on antiretroviral therapy (ART) has grown in recent years.

 In contrast, there are fewer differentiated models of care for people with advanced HIV disease and people at high risk of HIV disease progression due to unsuppressed viral load, adherence challenges, and/or co-morbid conditions. There is an urgent need for innovative thinking and program design to optimize service delivery for people needing more-intensive DSD models, including how, by whom, and where services should be delivered for optimal impact.

Learn more about the AHD Community of Practice 

 

To help address this need, CQUIN has hosted workshops and satellite sessions, drafted a “call to action” for new DSD models, and convened a multi-country community of practice to facilitate ongoing experience-sharing and resource co-creation. In July 2020, CQUIN partnered with Unitaid, and CHAI to host a multi-country workshop on DSD and advanced HIV disease.

In July 2022, CQUIN also hosted an AIDS 2022 satellite on a health systems strengthening approach to improving AHD services.

Virtual Workshop

From July 28-29, 2020 CQUIN in collaboration with CHAI and Unitaid convened a multi-country workshop on DSD for advanced HIV disease.

Over 400 health experts from over 20 countries participated in this unique and fascinating virtual workshop. Participants shared experiences, best practices, and challenges in establishing DSD models for people living with advanced HIV disease and/or at high risk of disease progression.

View the summary report.

Call to Action

CQUIN developed a Call to Action for people with advanced HIV disease and/or at high risk of disease progression that describes currently recommended packages of care and reviews available DSD models. It is designed to motivate stakeholders to share their experiences, generate new evidence, and advocate for attention to innovative, more-intensive DSD models.

Satellites

24th International AIDS Conference (AIDS 2022), Montreal, Canada

On July 29, 2022, CQUIN convened experts from the World Health Organization (WHO), Global Fund, and representatives from ministries of health to discuss strengthening health systems to optimize the care and treatment of people with advanced HIV disease (AHD), and on lessons learned from the 21-country CQUIN learning network. More here.

10th International AIDS Society Conference on HIV Science in Mexico City
On July 21, 2019, CQUIN convened experts from the World Health Organization (WHO), the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), ministries of health, implementing partners, and networks of people living with HIV at an IAS2019 satellite to discuss more effective approaches to identify and treat people living with advanced HIV disease and those at high risk of disease progression. Read more here.

20th International Conference on AIDS and STIs in Africa in Kigali, Rwanda 
CQUIN hosted a satellite session at ICASA on December 4, 2019. Panelists from ICAP, CHAI, Unitaid, the University of Zimbabwe, the International AIDS Society, ministries of health, and networks of people living with HIV discussed the need for differentiated program design to reach people with advanced HIV disease and those at high risk of disease progression.