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 4786 ART facilities in the country, 631 have enrolled at least 10% of eligible recipients of care into less-intensive models.
Source: October 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 147,887 recipients of care in a sample of 43% of all people on ART, 93,070 have been enrolled in less-intensive models.
Source: October 2020 CQUIN Data Request

# of Less-Intensive
DSD Models

Number of less-intensive DSD models designed for people doing well on ART. Less-intensive models include: Fast Track, PODI (Community ART Distribution), Community Adherence Clubs, and Community ART Groups.
Source: October 2020 CQUIN Data Request

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, as well as adults who are not stable on ART, patients at high risk of disease progression, key and priority populations, and children.
Source: October 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.

 

South

Training in Kinshasa, DRC

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