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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