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 DSD models.
Of the 4584 ART facilities in the country, 1907 have enrolled at least 10% of eligible recipients of care into less-intensive models.
Source: February 2020 CQUIN DSD Dashboard Staging

% In Less-Intensive
DSD Models

%

Percent of people on ART who are enrolled in less-intensive DSD models.
Of the 274,550 recipients of care on ART in the country, 57,244 have been enrolled in less-intensive models.
Source: February 2020 CQUIN DSD Dashboard Staging

# of Less-Intensive
DSD Models

Number of less-intensive DSD models designed for people doing well on ART. In two provinces, less-intensive models include ART refill groups, fast track, and community refills.

DSD Model
Diversity

Number of groups for whom less-intensive DSD models have been designed and implemented.  Less-intensive DSD models are available for adults who are stable on ART and eligible adolescents.
Source: February 2020 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.

 

Training in Kinshasa, DRC

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