The adoption of the “Test and Start” strategy to reach the 90-90-90 goals opens the door for more people living with HIV to receive antiretroviral therapy (ART) and achieve viral suppression. To successfully put this strategy into practice, the health community must combat health systems constraints, including a shortage of health workers. One solution is to change the way that sites deliver HIV services by adapting to the specific needs of clients (i.e., differentiated service delivery models). These changes respond to the preferences and expectations of clients while maximizing the use of available resources, such as health workers. For instance, differentiated ART delivery models can accommodate different client schedules, alternative locations for medication refills, and fast track client flow to reduce waiting times.
In partnership with PEPFAR, HRH2030 will support differentiated ART service delivery by: