Differentiated Service Delivery in Sierra Leone.
Percent of health facilities providing less-intensive DSD models. Insufficient data on patient coverage is available to estimate the proportion of ART facilities enrolling at least 10% of eligible recipients of care into less-intensive models.
% In Less-Intensive
Percent of people on ART who are enrolled in less-intensive DSD models. Among 42,565 recipients of care currently on ART, 24,914 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 model: 3-Month Multi-Month Dispensement (MMD). 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 co-morbidities, patients at high risk of disease progression, men, pregnant or breastfeeding women, and key and vulnerable populations. Source: October 2021 CQUIN DSD Dashboard staging
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.
Visit ICAP’s website for a broader portfolio of work in CQUIN network countries.