Differentiated Care

It’s time to test, treat and deliver differently

Current models of providing HIV services for prevention, testing, care and treatment are being stretched to the limit. To reach the UNAIDS 90-90-90 targets, new, differentiated approaches are needed to meet the diverse needs and expectations of all people living with HIV (PLHIV). Differentiated care, or differentiated service delivery, has been defined as “a client-centred approach that simplifies and adapts HIV services across the cascade, in ways that both serve the needs of PLHIV better and reduce unnecessary burdens on the health system”. The IAS Differentiated Care initiative is committed to supporting the scale-up of differentiated care through catalyzing country and community advocacy and amplifying global best practices, tools, and evidence to effectively reach the 37 million people worldwide in need of high-quality life-saving HIV care.

Key Objectives

  • To increase the number of countries that include differentiated service delivery within national HIV policies and guidelines.
  • To support research into and amplify the evidence for differentiated care.
  • To ensure that differentiated care is client-centred and promotes the involvement and engagement of PLHIV in the design and delivery of care.

Approach

To achieve these objectives, the IAS is undertaking the following activities:

  • Extending the platform to support differentiated service delivery
    1. Building on from the Decision Framework for ART delivery, developing complimentary frameworks for:
    • Differentiated ART delivery for families (children, adolescents and pregnant and breastfeeding women)
    • Differentiated service delivery for the first 90 (testing and linkage)
    • Differentiated service delivery for key populations (across the prevention and treatment cascade)
  • Catalysing countries and communities with advocacy for action
    1. Expanding country guidelines and guidance,
    2. Facilitating demand creation by communities of people living with HIV
    3. Advocating for action
  • Amplifying global best practices, tools and evidence
    1. Curating www.differentiatedcare.org — the go-to-resource for for implementing quality client-centred care. To highlight latest research, new innovative tools, and upcoming events, the initiative publishes a regular www.differentiatedcare.org newsletter. Click here to sign-up.