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What is differentiated care & global guidance for scale up Lynne - - PowerPoint PPT Presentation
What is differentiated care & global guidance for scale up Lynne - - PowerPoint PPT Presentation
What is differentiated care & global guidance for scale up Lynne Wilkinson International AIDS Society 16 May 2017 www.iasociety.org Differentiated care is a client-centred approach that simplifies and adapts HIV services across the cascade
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Fox MP, Rosen S (2017) A new cascade of HIV care for the era of “treat all”. PLOS Medicine 14(4): e1002268. https://doi.org/10.1371/journal.pmed.1002268 http://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1002268
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Why differentiate ART delivery
- To improve client
experience
- To improve health
- utcomes
- Leverage resources
to ‘treat all” and achieve 90-90-90
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How to approach differentiating ART delivery
- 1. Identify client and health system challenges
- 2. Define for whom you are differentiating care
- 3. Determine the appropriate building blocks
for differentiated ART delivery for your identified population
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- 1. Identify the challenges
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- 2. Define for whom we are
differentiating ART delivery
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- 3. Determine
the building blocks
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WHO building block guidance
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Stable adults = >18 years + >12m on ART, 1 VL <1000copies/ml no
current illness or adverse event requiring regular clinical follow-up
Example outcome
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Health care worker-managed group
ART adherence clubs Community ART groups (CAGs) Fast track ART refill collection at facility
- Mobile outreach
- Fixed community ART refill distribution
- Home ART delivery
Client-managed group Facility-based individual Out-of-facility individual
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Image : “Interaction Institute for Social Change | Artist: Angus Maguire.”
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