Three novel approaches to HIV care piloted by MSF in West and Central Africa (WCA) are briefly presented in the toolkit.

They are being disseminated in order to share the knowledge and experience necessary to understand and replicate strategies that will reduce the imbalance in ART coverage, notably in WCA. Certain principles, such as the separation of ARV delivery from clinical care, treatment refills for longer periods, the delegation of testing tasks to non-medical personnel, and psychosocial assistance combined with ARV distribution must remain the essential foundation to differentiated models of care. Other components may vary, but will, just like these principles, be adapted to different contexts and always focused on the specific needs of the client.

A combination of different approaches is also desirable, as is mentioned in some of the recommendations at the end of the toolkit.