Thematic Supplements

Leveraging differentiated ART delivery models to strengthen family planning

This supplement to A Decision Framework for antiretroviral therapy delivery outlines how models of differentiated antiretroviral therapy (ART) delivery can be leveraged towards strengthening family planning. It is intended for the use of national and district ART programme managers, implementing partners, community partners and donors.

Leveraging Differentiated ART delivery models for stable clients to scale up TB preventive therapy

This supplement to A Decision Framework for antiretroviral therapy delivery (2019) outlines how models of differentiated ART delivery can be leveraged towards scaling up TB preventive therapy. This supplement is intended for the use of national and district ART programme managers, implementing partners, community partners and donors.

Priority actions for differentiated ART delivery in West and Central Africa

In 2019, a supplement to A Decision framework for antiretroviral therapy delivery titled Prioritizing differentiated ART delivery for clinically stable clients in West and Central Africa (WCA) was developed for national and district ART managers, implementing partners, community partners and donors to support scale up of differentiated ART delivery in WCA. In addition to providing an overview of DSD and guidance on prioritization, the supplement outlines a number of case studies from the region.

Also published in 2019, Prioritizing differentiated ART delivery to fast track reaching HIV targets in West and Central Africa is a policy brief outlining the key actions to scale up differentiated ART delivery for clinically stable clients in WCA. The brief is designed to support advocacy with policy makers, funders and programme implementers globally and in WCA.

Decision Frameworks

A Decision Framework for HIV testing services

A Decision Framework for HIV testing services (2018) is a practical tool to guide HIV programme managers on how to consider HIV testing and linkage services differently. The structured approach to performing the situation analysis and building HIV testing service delivery models is aimed at helping countries reach the first 90.

Differentiated ART delivery for key populations

A Decision Framework for differentiated antiretroviral therapy delivery for key populations (2018) draws purposeful attention to men who have sex with men, transgender people, people who inject drugs and sex workers. The framework outlines the methodology for identifying specific challenges, deciding what DSD models may solve these challenges and how to systematically adapt or build a differentiated model of ART delivery for a specific key population.

Differentiated ART delivery for children, adolescents and pregnant and breastfeeding women

A Decision Framework for differentiated antiretroviral therapy delivery for children, adolescents and pregnant and breastfeeding women (2017) draws purposeful attention to these specific populations. It is the second of the Decision Framework series and supports how to implement the 2017 Key considerations for differentiated antiretroviral therapy delivery for specific populations: children, adolescents, pregnant and breastfeeding women and key populations (see WHO section below for more detail).

Differentiated ART Delivery

Differentiated care for HIV: A decision framework for antiretroviral therapy delivery (2016) supports how to implement differentiated ART delivery. It provides a background to the principles and a menu of examples. A 5-step plan to guide ART programme managers is outlined and the key “elements” to consider are described along with the “building blocks” of service delivery.