AMBIT (Alternative Models of ART Delivery—Optimizing the Benefits, a two and a half-year research and evaluation project in sub-Saharan Africa, was launched in September 2018 to address gaps in evidence in the “big picture” of DSD. This includes the proportion of clinics offering alternative models, number of clients actually participating, programme-wide outcomes, resource utilization and costs compared with traditional care, financial sustainability and other system-wide indicators. Find more information and AMBIT project reports below. 

AMBIT Policy Brief. Differentiated service delivery in Malawi: Provider and client costs of treatment (2024)

AMBIT Brief 5: Do DSD models for HIV treatment save money? Evidence from implementation studies conducted in sub-Saharan Africa in 2017-2019 (2021)

AMBIT Brief 4: DSD patient preferences from AMBIT review (2020)

AMBIT Brief 3: Frequency of interactions from AMBIT systematic review (2020)

AMBIT Brief 2: MMD outcomes from AMBIT review (2020)

AMBIT Brief 1: DSD eligibility from AMBIT review (2020)

Retention in care and viral suppression in differentiated service delivery models for HIV treatment in sub-Saharan Africa: a rapid systematic review. Retention in care and viral suppression in differentiated service delivery models for HIV treatment in sub-Saharan Africa: a rapid systematic review. Long L, Kuchukhidze S, Pascoe S, Nichols B E, Fox MP, Celeb R, Govathson C, Huber A N, Flynn D, Rosen S, Journal of the International AIDS Society [Preprint, not peer-reviewed] (19 May 2020)

AMBIT Overview (September 2018)

AMBIT project report 3: Differentiated models of service delivery (DSD) for antiretroviral treatment of HIV in sub-Saharan Africa. A review of the gray literature as of June 2019 (2019)

AMBIT project report 2: Provider costs associated with differentiated models of service delivery for HIV treatment in sub-Saharan Africa (September 2019)

AMBIT project report 1: Patient benefits and costs associated with differentiated models of service delivery for HIV treatment in sub-Saharan Africa (August 2019)