Out-of-facility individual models

Community drug distribution points (CDDPs)

Fixed community ART distribution points

Clinical
Specific populations
Context

TASO piloted community drug distributed points (CDDPs) in Jinja, Uganda, that have subsequently been endorsed by the Ministry of Health and implemented nationally. Clients collect 2-3-month ART refills from ART distribution points at community locations serviced by counsellors with support from expert patients and community health workers. A clinical outreach team from the facility does 6-monthly clinical assessments at the CDDP location. Clients and group leaders of community client-led ART delivery (CCLAD) peer support groups are allowed to collect ART refills from the CDDP. 

Who is eligible for this model?

On ART >6 months, clinically stable, adherence >95%, disclosure to friend/relative
(specifically excluded: children, pregnant and breastfeeding women, TB/HIV co-infected clients, severe other chronic conditions)

ART refills

WHAT

ART refill
Group health talk
Individual adherence support
Haemoglobin/pregnancy (women) test
Weight and symptom screen
Referral if unwell

WHEN

2 monthly
3 monthly

WHERE

Community venue

WHO

Counsellor supported by expert patient
Lay health care worker  

Clinical consultation

WHAT

Laboratory tests
ART rescripting
Clinical monitoring
ART refill

WHEN

6 months

WHERE

Community venue

WHO

Nurse
Physician

 

Summary of the model (per year)

Location

Ugandan CDDP
Jinja, Uganda

Need more details?

More information on how to implement this model. 

More details

A one-size-fits-all model of HIV services does not work for all 37 million people living with HIV today. Differentiated service delivery is a responsive, client-centred approach that simplifies and adapts HIV services across the cascade to better serve individual needs and reduce unnecessary burdens on the health system. More countries are revising their HIV service delivery models and recognize that it is time to deliver differently.

The International AIDS Society (IAS) developed this website in collaboration with: the World Health Organization (WHO); Joint United Nations Programme on HIV/AIDS (UNAIDS); United States President’s Emergency Plan for AIDS Relief (PEPFAR); Centers for Disease Control and Prevention (CDC); United States Agency for International Development (USAID); Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM); Bill & Melinda Gates Foundation (BMGF); Médecins Sans Frontierès (MSF); World Bank; International Community of Women Living with HIV/AIDS (ICW); and members of several ministries of health. The compendium website contains tools and evidence endorsed for use by national HIV programmes and country implementing partners supported by the agencies engaged in its development.

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