What is DSD?

Differentiated service delivery (DSD), previously referred to as differentiated care, is a client-centred approach that simplifies and adapts HIV services across the cascade to reflect the preferences, expectations and needs of people living with and affected by HIV, while reducing unnecessary burdens on the health system.  

The World Health Organization has recommended DSD for HIV treatment since 2015. Published evidence from the past decade shows that DSD can: 

Enhance client outcomes, including quality of care.

Ensure that the health system functions efficiently.

Enable the health system to refocus resources to those most in need.

Find out more about DSD: 
Frequently asked questions │ Getting started – How to implement DSD │ See DSD in action  

“The amount of time we spend at the health facility in the queues – a queue for triage, a queue for the nurse, a queue at the pharmacy and a queue for the labs – it’s too much time. I want to come to the facility only twice a year… I have a life to live.”

Patricia Asero Ochieng, client, Kenya

DSD for HIV treatment and prevention: Explainer videos

Healthcare worker-managed groups
Client-managed groups
Facility-based individual model
Out-of-facility individual model
Common model adaptations for specific populations
DSD for pre-exposure prophylaxis (PrEP)
DSD for clients re-engaging in HIV care