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. 2021 Jun 30;9(2):296–307. doi: 10.9745/GHSP-D-20-00532

TABLE 2.

Twelve Strategies for Differentiated Service Delivery Model for HIV Treatment in Malawi, South Africa, and Zambia, as Reported by Interview Respondents

Adherence clubs Any group model that is led by a health care worker (professional or lay)
Community adherence groups Any group model in which a patient picks up medications for other group members (typically abbreviated CAG)
Community outreach A variety of models that bring both clinical care and medications into the community, such as nurse-led outreach
External pickup points Any model that delivers antiretroviral medications to pickup points outside clinic facilities, such as lockers, community pharmacies, decentralized pickup points, etc.
Extra clinic hours Any model that adds additional hours to a facility's operations to facilitate access, such as on evenings or weekends
Family models Any model designed to serve multiple and/or specific members of a family at once (e.g., pediatric clinic or family clinic)
Fast track services Any model that creates a separate queue, kiosk, or procedure at a facility to speed up service delivery for stable patients
Home delivery Any model that delivers antiretroviral medications to patients' homes (e.g., by a community health worker or a bicycle courier)
Multimonth dispensing Any model in which the primary goal is to dispense medications for a longer duration than is done under standard care (usually 6 months)
Nonstable patient models Models for patients who do not meet definitions of clinical stability, such as high viral load clinics and advanced disease clinics
Key population models Models for a key population such as men who have sex with men or female sex worker
Youth models Any model specifically for youth/teens/adolescents (e.g., teen clubs in Malawi and the scholar model in Zambia)