Democratic Republic of the Congo

Differentiated Service Delivery in the Democratic Republic of the Congo

Facility-Level
Coverage

%

Percent of health facilities providing less-intensive DART models.

(702 on a total of 4134 ART sites) providing Less intensive DSD models
Period: June 2022
Source: National EMR and PEPFAR IPs reports

% In Less-Intensive
Differentiated Treatment Models

%

Percent of people on ART who are enrolled in less-intensive DART models.

(174734/485699) patients enrolled in Less intensive DSD models
Period: June 2022
Source: National EMR and PEPFAR IPs reports

Multi-month ART Dispensing

20

%

Percent of people on ART receiving ≥ 6 months of ART at a time. 

MMD6+: 55%
MMD3-5: 43%
MMD<3: 2% Period: June 2022 Source: National EMR and PEPFAR IPs reports

DART Model
Diversity

Number of groups for whom less-intensive DART models have been designed and implemented.

Differentiated ART Models are available for patients established in care aged at least 2 years as well as for additional category of patients
MIM (Conventional model; AHD)
FBI (AS+FT)
CBI (PODI)
CBG (CAG; Com. ART Club)
Period: June 2022
Source: National EMR and PEPFAR IPs reports

Differentiated Service Delivery Implementation in the Democratic Republic of the Congo

The Democratic Republic of the Congo (DRC) joined the CQUIN learning network in September 2019. DRC’s Ministry of Health and the National AIDS Control Program are committed to advancing the implementation of differentiated service delivery (DSD) models and are energized at the prospect of presenting more diverse options to recipients of care.

In two provinces in DRC, three differentiated antiretroviral (ART) delivery models were introduced and offered to recipients of care:

  • One facility-based group model: ART clubs provide refills via support groups managed by health care workers.
  • One facility-based individual model: Fast-track ART refills.
  • One community-based individual model: community-based points of ART distribution
  • One community-based group model:  community ART groups.

Though progress has been made in increasing retention and reducing wait time for recipients of care at the community-level, challenges remain.

 

Resources

DSD Dashboard Staging Baseline Feb 2020

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Visit ICAP's Website for a broader portfolio of work in CQUIN network countries.