Democratic Republic of the Congo
Differentiated Service Delivery in the Democratic Republic of the Congo
Percent of health facilities providing less-intensive DSD models. Among 3,606 ART facilities, 614 reported DSD data and have enrolled at least 10% of eligible recipients of care into less-intensive models. Source: October 2021 CQUIN DSD Dashboard staging
% In Less-Intensive
Percent of people on ART who are enrolled in less-intensive DSD models. Among the 348,587 recipients of care currently on ART, 115,665 have been enrolled in less-intensive models. Source: National DHIS2 database, end June 2021
# of Less-Intensive
Number of less-intensive DSD models designed for people doing well on ART. Less-intensive models include: Fast Track, PODI (Community ART Distribution), Peer-Led Community Adherence Clubs, and Heath Care Worker-Led Community ART Groups. Source: October 2021 CQUIN data report
Number of groups for whom less-intensive DSD models have been designed and implemented. Differentiated ART models are available for adults who are doing well on ART and eligible adolescents, as well as adults with advanced HIV disease, patients at high risk of disease progression, pregnant or breastfeeding women, and key and vulnerable populations. Source: October 2021 CQUIN DSD Dashboard staging
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.
Community Anti-retroviral Group Training in Kinshasa, DRC