- AIDS 2024 DSD events
- Differentiated service delivery beyond HIV treatment: Learnings from and for NCDs and family planning towards integrated DSD. An AIDS 2024 pre-conference
- Differentiated strategies to support sustained engagement and re-engagement in HIV services in eastern and southern Africa
- Models to simplify, normalize and diversify PrEP service delivery for scale and equitable access
Access resources from the AIDS 2024 events organized or supported by the DSD programme of IAS – the International AIDS Society.
PRE-CONFERENCE
Differentiated service delivery beyond HIV treatment: Learnings from and for NCDs and family planning towards integrated DSD. An AIDS 2024 pre-conference
Date: 20 July 2024, 15:00 – 19:30 CEST. Location: Hall B0a/Channel 4; AIDS 2024 Conference Venue
The scale up of differentiated service delivery (DSD) for HIV treatment has increased over the past decade – the result of supportive global normative guidance, considerable research evidence, ministries’ implementation efforts, community demand and benefits to those established on HIV treatment. DSD is not limited to HIV; its principles offer advantages for diverse health needs. People living with and without HIV who require long term medication and follow up could benefit from the DSD approach being implemented and/or integrated. DSD fundamentals already exist in family planning (FP) and non-communicable disease (NCD) service delivery – we need to understand them to move forward. This pre-conference will spotlight the important role of expanding DSD to health needs beyond HIV treatment to enhance self-care and empowerment. Join us in shaping DSD beyond HIV – for FP, NCDs and integration. For details, contact [email protected] or visit www.differentiatedservicedelivery.org.
Session 1: DSD for HIV and beyond – where we are and where we’re going, 15:00-16:30 CEST. The opening session set the stage for the pre-conference framing differentiated service delivery (DSD) for HIV and beyond. It articulated the fundamentals and key enablers of DSD as well as its relevance for the provision of contraceptive care and supporting treatment of common non-communicable diseases. A panel discussion offered insights on the perspectives of funders in supporting DSD beyond HIV. Finally, a series of best practice examples showcased what is possible.
DSD for HIV and beyond – where we are and where we’re going (Helen Bygrave, IAS, United Kingdom and Nelson Otwoma, NEPHAK, Kenya)
Applying DSD beyond HIV (Anna Grimsrud, IAS, South Africa)
Enabling increased self-management: Lessons from DSD for contraception in Malawi (Juliana Kanyengambeta, Ministry of Health, Malawi)
Recording – Enabling increased self-management: Lessons from DSD for contraception in Malawi (Juliana Kanyengambeta, Ministry of Health, Malawi)
Using simplified algorithms and DSD to improve hypertension control in people living with HIV in Uganda (Martin Muddu, Makerere University School of Medicine, Uganda)
Unifying measures: Adapting existing M&E tools for the integration of HIV and NCDs in Kenya (Yvette Kisaka, Ministry of Health, Kenya)
Session 2: DSD beyond HIV – case studies from family planning, 17:00-18:00 CEST. This session will spotlight how DSD is being currently used for family planning while sharing new innovations. These innovations include expanding the reach of family planning and HIV testing services through community-based vending machine distribution in South Africa and plans for family planning and antiretroviral therapy DSD model integration in one high- and one low-HIV burden country.
Opening remarks (Lynne Wilkinson, IAS, South Africa and Robinah Babirye, ATHENA Network, Uganda)
Innovative integration: Contraception in Lesotho’s DSD models (Ntaoleng Mohlabane, Baylor College of Medicine, Lesotho)
Recording – Innovative integration: Contraception in Lesotho’s DSD models (Ntaoleng Mohlabane, Baylor College of Medicine, Lesotho)
Pathways to empowerment: Integrating digital self-care for HIV testing and contraception for young women in South Africa (Sanni Babatunde, Optidel, South Africa)
Recording – Pathways to empowerment: Integrating digital self-care for HIV testing and contraception for young women in South Africa (Sanni Babatunde, Optidel, South Africa)
Integrating family planning into Mozambique’s 6MMD HIV DSD model (Aleny Couto, Ministry of Health, Mozambique)
Recording – Integrating family planning into Mozambique’s 6MMD HIV DSD model (Aleny Couto, Ministry of Health, Mozambique)
Integration insights from providing family planning within Ghana’s HIV DSD models (Claudette Diogo, Ministry of Health, Ghana)
Recording – Integration insights from providing family planning within Ghana’s HIV DSD models (Claudette Diogo, Ministry of Health, Ghana)
Session 3: DSD beyond HIV – case studies from NCDs, 18:30-19:00 CEST. In the final session, the emphasis will be on how the core principles and enablers of DSD can support expanded access to treatment for those with common non-communicable diseases, with a focus on hypertension and diabetes. Case studies from three countries will illustrate practical examples. Participants will then reflect on the pre-conference’s insights, discussing the evolving role of DSD beyond the 2023 HIV global goals.
Opening remarks (Aniset Kamanga, Clinton Health Access Initiative, Zambia)
Building on DSD for HIV: The integrated chronic disease management (ICDM) framework for Eswatini (Ntombifuthi Ginindza, Ministry of Health, Eswatini)
A pathway to hypertension and HIV integration: Lessons from Nigeria (Dike Ojji, University of Abuja and University of Abuja Teaching Hospital, Nigeria)
Keeping it simple: Fixed-dose combinations for hypertension as an enabler for DSD in Kenya (George Wambugu, MSF France, Kenya)
Closing remarks: Where to from here? (Helen Bygrave IAS, UK)
SATELLITE SESSIONS
Differentiated strategies to support sustained engagement and re-engagement in HIV services in eastern and southern Africa
Date: 23 July 2024, 12:00 – 13:00 CEST. Location: Room 13a/Channel 6; AIDS 2024 Conference Venue
This session builds on the concept of a cyclical HIV treatment cascade, encompassing the cycle of engaging, disengaging and re-engaging in HIV care, starting from the initial positive HIV test result. Achieving quality of life and positive health outcomes, including sustained viral suppression for people living with HIV, requires health services that are responsive to their evolving needs and expectations. Organized collaboratively by IAS – the International AIDS Society – and the World Health Organization, this session aims to enhance the understanding of the factors contributing to disengagement from HIV treatment services in eastern and southern Africa. Additionally, it seeks to explore the potential of differentiated service delivery (DSD) strategies in preventing disengagement and facilitating sustained re-engagement in HIV treatment services in the region. The primary audience includes implementers and programmers, ministry of health officials, advocates/civil society, researchers and funders.
Find out more about this session.
Launch of a policy brief on re-engagement (Clarice Pinto, World Health Organization)
Understanding treatment interruptions and the importance of flexibility to support quality re-engagement: the Malawi experience (Khumbo Nyirenda, Partners in Hope, Malawi)
Early learnings from implementation of revised re-engagement guidelines in Zimbabwe (Tsitsi Apollo, Ministry of Health and Child Care, Zimbabwe)
Differentiation at re-engagement: Considerations in building South Africa’s re-engagement algorithm (Musa Manganye, National Department of Health, South Africa)
Models to simplify, normalize and diversify PrEP service delivery for scale and equitable access
Date: 22 July 2024, 07:30 – 09:00 CEST. Location: Room 14c/Channel 10; AIDS 2024 Conference Venue
Taking pre-exposure prophylaxis (PrEP) to scale as part of combination HIV prevention is critical to combat new infections and achieve the goals of ending HIV transmission. Between 2019 and 2022, PrEP coverage rose from 233,000 to 2.6 million people, however this expansion was driven by a small number of countries. To meet ambitious global goals of 10 million people on PrEP by 2025, global adoption of models that simplify, normalize and diversify PrEP are needed to promote equitable access among all those who may benefit from it. This session will spotlight diverse real-world PrEP service delivery models from a variety of contexts and for different populations that showcase examples of the innovative, out-of-the-box thinking needed to accelerate PrEP scale-up. This will be followed by a panel discussion with leading experts on accelerating PrEP scale up, sustainability of PrEP programming and the implications of new PrEP products and approaches.
This session is jointly organized by the World Health Organization, U.S. Centers for Disease Control and Prevention, UNAIDS, PATH, EpiC Project, and IAS – the International AIDS Society.
