"Involving key population communities and organizations as partners and leaders in implementing health services is an evidence-informed approach to improving the quality and acceptability of services."

World Health Organization

What should differentiated prevention services include?

Targets have been set for prevention with a global goal of achieving less than 500,000 new infections by 2021. To achieve this target, linking clients to the five prevention pillars should be essential components of prevention services (see figure below). These pillars are: combination prevention for adolescent girls and young women; combination prevention for key populations; comprehensive condom programmes; voluntary medical male circumcision and sexual and reproductive health services for men and boys; and rapid introduction of pre-exposure prophylaxis (PrEP).

Does differentiated service delivery include prevention for key populations?

There are several successful examples of DSD for key populations. The community response from key population organizations provides some of the earliest examples of DSD. They include prevention outreach services run by community-based organizations (CBOs), key population initiatives for testing and linking to health services, support groups for key populations living with HIV and drop-in centres (DICs) offering services, such as prevention information and commodities, STI treatment, OST and referral services.

Building on these successes, incorporating the lessons learned from pilot programmes into approaches supported by the ministry of health may support further scale up of quality DSD.