Adaptations in differentiated HIV treatment initiation

In order to support HIV treatment initiation and reduce risk of SARS-CoV2 exposure at health facilities, adaptations included telehealth options such as virtual follow-up visits, as well as antiretrovital therapy (ART) home delivery.

 

Thailand - "Differentiated service delivery adaptations during COVID-19 for Same-Day Antiretroviral Therapy Initiation Hub", (IHRI Thailand), December 2020

Slides from an IAS DSD subgrant to document HIV DSD model adaptations in response to COVID-19 

Adaptations in differentiated HIV treatment

In order to support uninterrupted HIV treatment supply and reduce risk of SARS-CoV2 exposure at health facilities, many adaptations to HIV treatment services have increased the duration of ART refills (also known as MMD or multi-month dispensing) and supported community-based models of HIV treatment delivery.

The examples below highlight some of the adaptations made in different countries by ministries and implementers:

 

Democratic Republic of Congo - "DSD adaptations during COVID-19 for antiretroviral therapy retention" (HPP-TN Project), December 2020

Slides from an IAS DSD subgrant to document HIV DSD model adaptations in response to COVID-19
Nigeria - "DSD adaptations during COVID-19 for people living with HIV in Nigeria/West Africa" (Institute of Human Virology Nigeria), December 2020

Slides from an IAS DSD subgrant to document HIV DSD model adaptations in response to COVID-19
South Africa - "DSD adaptations during COVID-19 for adults receiving antiretroviral therapy in Durban, South Africa" (eThekwini Municipality Health Unit & CAPRISA), December 2020

Slides from an IAS DSD subgrant to document HIV DSD model adaptations in response to COVID-19 
South Africa - "South Africa Differentiated Service Delivery Adaptations During COVID-19 for Adults Collecting Medication for HIV and other Chronic Conditions" (Right e-Pharmacy), December 2020

Slides from an IAS DSD subgrant to document HIV DSD model adaptations in response to COVID-19 
South Sudan - DSD adaptations during COVID-19 for people living with HIV, Central Equatoria State, South Sudan (NEPWU), December 2020

Slides from an IAS DSD subgrant to document HIV DSD model adaptations in response to COVID-19 
Uganda - DSD adaptations during COVID-19 for people living with HIV in Kampala, Uganda (Alive Medical Services), December 2020

Slides from an IAS DSD subgrant to document HIV DSD model adaptations in response to COVID-19 
Zambia - DSD adaptations during COVID-19 for Stay at Home Order delivery project, Mansa, Zambia (Youth Advocates for Change), December 2020

Slides from an IAS DSD subgrant to document HIV DSD model adaptations in response to COVID-19 
South Africa – “COVID impact on ART program in South Africa”, CDC South Africa, 19 August 2020

Slides from the CDC PEPFAR ART Programmes in the context of COVID-19 webinar series
Ethiopia – “Status of ART implementation in the context of COVID-19”, Fana Tafera (CDC Ethiopia), 2 September 2020

Slides from the CDC PEPFAR ART Programmes in the context of COVID-19 webinar series

Indonesia – “‘Jak-Anter’: Home-based antiretroviral treatment delivery platform to ensure sustained and safe access to HIV treatment among PLHIV during COVID19”, Irvin Romyco (LINKAGES Indonesia), 14 August 2020

Slides from the APCOM Covid-19 Webinar Series for Communities in Asia-Pacific

Philippines – “#ARVayanihan, The Red Whistle”, (TLFshare), 14 August 2020

Slides from the APCOM Covid-19 Webinar Series for Communities in Asia-Pacific

Kenya – “DSD in Kenya’s HIV programme before and during COVID-19”, Dr Catherine Ngugi (National AIDS and STI Control Programme), 7 July 2020

Slides from DSD in 2020 – Responding to the needs of people living with HIV before, during and after COVID-19, a satellite session at AIDS2020: Virtual
Kenya - “Scaling up DSD in Kenya during COVID-19”, Dr Paul Wekesa (Centre for Health Solutions), 7 July 2020

Slides from Responding to the needs of people living with HIV before, during and after COVID-19, a satellite session at AIDS2020: Virtual
Sierra Leone - “Prioritized DSD implementation in Sierra Leone due to COVID -19”, Dr Alren Vandy (NACP/MOHS), 7 July 2020

Slides from Responding to the needs of people living with HIV before, during and after COVID-19, a satellite session at AIDS2020: Virtual
Sierra Leone – “Utilizing the network of HIV positives in Sierra Leone (NETHIPS) for DSD during COVID-19”, Idrissa Songo (NETHIPS), 7 July 2020

Slides from Responding to the needs of people living with HIV before, during and after COVID-19, a satellite session at AIDS2020: Virtual
South Africa – “Scale up and adaptation of Cape Town adherence clubs”, Dr Beth Harley (Western Cape Department of Health), 7 July 2020

Slides from Responding to the needs of people living with HIV before, during and after COVID-19, a satellite session at AIDS2020: Virtual
South Africa - Home delivery of medication as part of reducing congestion in primary healthcare in Tshwane District Health Services. (J M Louw et al., in: South Afr J Pub Health 2020)

Research article

Adaptations in differentiated HIV prevention

In order to maintain and increase gains made in PrEP coverage and reduce the risk of SARS-CoV2 exposure at health facilities, innovative solutions to PrEP promotion and delivery have included online, community-based and delivery services, as well as MMD for PrEP. 

The examples below highlight some of the adaptations made in different countries by ministries and implementers:

Kenya – “Providing PrEP outside of ART clinics: Diversifying PrEP delivery for adolescent girls and young women in Kenya”, Habel Alwang'a (PATH), 6 July 2020

Slides from Bringing PrEP closer to home: Why is now the time for differentiated PrEP? A satellite session at AIDS2020: Virtual
South Africa – “Taking PrEP online: Project PrEP in South Africa”, Saiqa Mullick (Wits Reproductive Health Institute), 6 July 2020

Slides from  Bringing PrEP closer to home: Why is now the time for differentiated PrEP? A satellite session at AIDS2020: Virtual
United States – “The Kelley-Ross Clinic One-Step PrEP Program”, Elyse Tung (Kelley-Ross Clinic), 6 July 2020

Slides from Bringing PrEP closer to home: Why is now the time for differentiated PrEP? A satellite session at AIDS2020: Virtual
Viet Nam, Kenya, Eswatini and Thailand – “Going Virtual with PrEP Service Delivery”, Various presenters (PrEPwatch), 28 May 2020

Slides from the PrEP Learning Network webinar series
South Africa, Botswana and Lesotho – “PrEP Delivery in the Context of COVID-19”, Various presenters (PrEPwatch), 23 April 2020

Recording from the PrEP Learning Network webinar series

Adaptations for specific populations

In order to support uninterrupted HIV services and reduce risk of SARS-CoV2 exposure at health facilities for specific populations, many innovative adaptations have been made to services, including peer-led approaches, online consultations and treatment delivery services.

The examples below highlight some of the adaptations made in different countries by ministries and implementers:

Kenya - DSD adaptations during COVID-19 for female sex workers in Nairobi, Kenya", (Bar Hostess Empowerment and Support Program), December 2020

Slides from an IAS DSD subgrant to document HIV DSD model adaptations in response to COVID-19 
Kenya - DSD adaptation during COVID-19 for key populations in Mombasa and Kilifi County, Kenya (ICRHK), December 2020

Slides from an IAS DSD subgrant to document HIV DSD model adaptations in response to COVID-19 
Nepal - DSD adaptations during COVID-19 for people living with HIV and people who inject drugs in Nepal (SPARSHA Nepal), December 2020

Slides from an IAS DSD subgrant to document HIV DSD model adaptations in response to COVID-19
Ethiopia – “Peer-led approaches for reaching female sex workers with PrEP in Ethiopia”, Fethia Keder (PSI), 6 July 2020

Slides from Bringing PrEP closer to home: Why is now the time for differentiated PrEP? A satellite session at AIDS2020: Virtual
Thailand – “Bringing PrEP to key populations in Thailand”, Nittaya Phanuphak (Thai Red Cross AIDS Research Center), 6 July 2020

Slides from  Bringing PrEP closer to home: Why is now the time for differentiated PrEP? A satellite session at AIDS2020: Virtual
Viet Nam – “Vietnam PrEP Plus: Online consultation + courier services to reach key populations”, Tham Thi Tran (PATH), 6 July 2020

Slides from Bringing PrEP closer to home: Why is now the time for differentiated PrEP? A satellite session at AIDS2020: Virtual