Out-of-facility individual models

Community ART distribution points (PODI)

Fixed community ART distribution points

Clinical
Specific populations
Context

    Community ART distribution points (PODI) have been supported by MSF and the USAID EQUIP initiative in the Democratic Republic of the Congo (DRC). Clients collect all 3-month ART refills from ART distribution points at community locations serviced by expert client volunteers. Clients separately attend the health facility annually for blood investigations and clinical assessment.

    Who is eligible for this model?

    On ART >6 months, no active OIs, CD4 count >350, belong to support group

    ART refills

    WHAT

    ART refill
    Group adherence support
    Weight and basic symptom screen
    Referral if unwell

    WHEN

    3 monthly

    WHERE

    Community venue

    WHO

    Peer/volunteer
     

    Clinical consultation

    WHAT

    Laboratory tests
    ART rescripting
    Clinical monitoring

    WHEN

    12 months

    WHERE

    Community health centre

    WHO

    Nurse
    Physician

     

    Summary of the model (per year)

    Locations

    DRC PODI
    Kinshasa, Democratic Republic of the Congo

    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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