DSD for Advanced HIV Disease and People at High Risk of DSD 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.
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.
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.
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.
Community of Practice
From 2018–2019, CQUIN’s Advanced HIV Disease community of practice focused on co-creating resources to identify people at high risk of HIV disease progression. The community of practice, which included 30 participants from ministries of health, PEPFAR, WHO, and implementing partners from Eswatini, Uganda, South Africa, and Zimbabwe, developed a screening tool for frontline health workers to identify people at high risk of HIV disease progression who may need additional referrals and support. The 19-question tool—available for download here—can be adapted to diverse HIV service delivery settings.
CQUIN anticipates that the community of practice will identify new projects and opportunities for co-creation in 2020.
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