Workshop report

DSD for chronic conditions beyond HIV Workshop Report (2023)

A workshop convened by IAS – the International AIDS Society in December 2023 in Harare, Zimbabwe, on implementing differentiated service delivery (DSD) models for clients established on treatment across chronic diseases

Malawi

Clinical HIV guidelines (2022)

Malawi Standard Treatment Guidelines (2023)

Clinical Guidelines for management of chronic non-communicable diseases (2022)

Publication: Expanding access to non-communicable disease care in rural Malawi: outcomes from a retrospective cohort in an integrated NCD–HIV model (Wroe E et al, 2020)

Nigeria

Guidelines for HIV Prevention, Treatment and Care (2020)

Guidelines for Prevention and Management of Hypertension in Nigeria (2023)

Publication: Adherence Clubs to Improve Hypertension Management in Nigeria: Clubmeds, a Feasibility Study (Isiguzu GC et al, 2022, Glob Heart)

Uganda

Consolidated HIV and AIDS guidelines (2022)

Implementation guide for DSD models of HIV service delivery in Uganda (2020)

Uganda Clinical guidelines for the management of common conditions (2023)

Integrated multi-month dispensing of antihypertensive and antiretroviral therapy to sustain hypertension and HIV control (Kimera et al, 2023, J Hum. Hypertens)

Scaling up integrated care for HIV and other chronic conditions in routine health care settings in sub-Saharan Africa: Field notes from Uganda (Moyo F et al, 2023, Int J Integr Care)

Using the RE-AIM framework to evaluate the implementation and effectiveness of a WHO HEARTS-based intervention to integrate the management of hypertension into HIV care in Uganda: a process evaluation (Muddu M et al, 2023, BMC)

Zimbabwe

Essential Medicines list and standard treatment guidelines (2020)

Operational and Service Delivery Manual for the Prevention, Care and Treatment of HIV in Zimbabwe (2022)

Guidelines for HIV prevention, testing and treatment in Zimbabwe (2022)

Setting up a nurse-led model of care for management of hypertension and diabetes mellitus in a high HIV prevalence context in rural Zimbabwe: a descriptive study (Frieden M et al, 2020 BMC Health Serv Research)

Publications: General DSD chronic disease

Expansion of a national DSD model to support people living with HIV and other chronic conditions in South Africa

Let’s talk chronic disease: Can DSD address the syndemics of HIV, hypertension and diabetes

Patient-Centered, Sustainable Hypertension Care: The Case for Adopting a Differentiated Service Delivery Model for Hypertension Services in Low- and Middle-Income Countries

Patient-centred integrated NCD and HIV drug distribution Eswatini and South Africa

INTE-Africa study: Integrated management of HIV, diabetes, and hypertension in sub-Saharan Africa (INTE-AFRICA): a pragmatic cluster-randomised, controlled trial

INTE-Africa study: Integrating HIV, hypertension, and diabetes primary care in Africa – Comment

“It’s not just about giving the drugs”: Medication Adherence Clubs (MACs) for HIV and Non-Communicable Disease (NCD) patients in an informal setting in Kibera, Kenya

Publications: Hypertension and SPCs

Addressing failures in HTN control through simplified treatment algorithms

Cost analysis HEARTS HTN control primary care Ethiopia

Landscape of team-based care to manage hypertension LMICs

Workshop presentations – Day 1

DSD: The fundamentals (Helen Bygrave, IAS)

How do the World Health Organization’s 2021 hypertension guidelines enable DSD for hypertension? (Taskeen Khan, WHO)

INTE-Africa study – integration of HIV, hypertension (HTN) and diabetes mellitus (DM) within a chronic disease service (Gerald Mutungi, Uganda)

Delivering a chronic care service: the Malawi experience (Noel Kasomekera, Malawi)

HTN integration into HIV services: the Uganda experience (Martin Muddu, Uganda)

DSD manual for HIV and non-communicable diseases in South Africa – a chronic disease approach (Musa Manganye, South Africa)

Operational and service delivery manual Zimbabwe: Integration of hypertension and diabetes into DSD models for clients established on treatment (Ronald Nyabereka, Zimbabwe)

DSD guidance for chronic disease: Resolve to Save Lives toolkits (Kufor Osi, Resolve to Save Lives)

Additional resources

Cardiovascular diseases. Under pressure – Hypertension Medicines Report (Resolve to Save Lives) (2022)

Guidelines for the pharmacological treatment of hypertension in adults (World Health Organization) (2021)