The evidence for differentiated service delivery is summarized below and presented by model type: health care worker-managed groups, client-managed groups, facility-based individual, and out-of-facility based individual models. Data from peer-reviewed publications and conference abstracts is included with links to original sources highlighted and available for download.
“Differentiated Service Delivery for HIV Treatment: Summary of Published Evidence November 2020” is a citable document, which includes all of the summaries below. You can also check out our summary of the latest DSD science from the AIDS 2022 conference in this slide deck.
Collection of commentaries, editorials, viewpoints, costing and other research
This is a collection of the latest published evidence for differentiated service delivery along with links to the publications. The content has been grouped thematically and includes other published literature such as commentaries, country implementation, costing studies and more.
Health care worker-managed groups
Evidence on health care worker-managed groups highlights improved client outcomes, both at individual sites and at scale, and suggests benefits to specific client populations, including children, their caregivers and adolescents…
Client-managed groups
The most common example of a client-managed group is a self-forming group of people living with HIV who meet at an agreed community location and nominate a member to collect…
Facility-based individual
The principle of differentiating between the need for a clinical visit versus an ART refill visit, combined with extended ART refills, has been used in a number of facility-based individual…
Out-of-facility individual
Out-of-facility individual models vary according to where in the community the services are provided, as well as what services are delivered and by whom. They can be divided into three…
