Sierra Leone

Differentiated Service Delivery in Sierra Leone.

Facility-Level
Coverage

Percent of health facilities providing less-intensive DART models.

There is insufficient information to estimate the proportion of facilities with ≥10% of people on ART enrolled in DART Data source: 2022 CQUIN DART CMM self-staging results

% In Less-Intensive
Differentiated Treatment Models

%

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

32% of people on ART have been enrolled in a less-intensive DART model Data source: 2022 CQUIN DART CMM self-staging results

Multi-month ART Dispensing

20

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

None of the RoC on ART is on 6+ Multi Month ART Dispensing Data source: DHIS2 April-June 2022 Report

DART Model
Diversity

%

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

32% of the RoC are in some unspecified less intensive DART model Data source: DHIS2 April-June 2022 Report

Differentiated Service Delivery Implementation in Sierra Leone

Sierra Leone joined the CQUIN learning network in September 2019. With a strong existing partnership between the Network of HIV Positives in Sierra Leone (NETHIPS) and the Ministry of Health’s National AIDS Control Programme, the country is well positioned to launch differentiated service delivery (DSD) implementation. 

In March 2019, NETHIPS secured a commitment from the Ministry of Health to develop the first national DSD policy, a significant step toward improving HIV treatment quality and relieving the burden on congested health facilities. Human resources for health remain an ongoing challenge for Sierra Leone’s overburdened health system, driving the country team’s desire to consider DSD implementation as a potential solution. Through the development of more community-based models, Sierra Leone hopes to present more diverse options to recipients of care, and remove barriers to accessing critical, lifesaving medication. 

As a new member of CQUIN, Sierra Leone hopes to leverage key features such as the south-to-south learning exchanges in order to gain new knowledge on successful community-based models across member countries. 

Resources

Dr. Alren Vandy (Sierra Leone MOH) and Mr. Idrissa Songo (NETHIPS) Discuss DSD Plans for Sierra Leone

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