With patients now living longer with HIV, demand for treatment has grown rapidly and people living with HIV are accessing services in unprecedented numbers. The United Nations has adopted ambitious 90–90–90 targets that aim to identify 90 percent of individuals with HIV, initiate 90 percent of those diagnosed on ART, and maintain viral suppression in 90 percent of those on treatment.
[Photo: Dr. Miriam Rabkin]
Global health experts believe they have identified a solution that will help countries reach the 90–90–90 targets. Known as differentiated care, or differentiated service delivery, the model moves away from a “one size fits all” approach, enabling stable patients to access treatment closer to the community and freeing up space at clinics and treatment centers.
To help accelerate the implementation of differentiated care in sub-Saharan Africa, ICAP is launching an ambitious three-year project called the HIV Coverage, Quality and Impact Network (CQUIN), funded by the Bill & Melinda Gates Foundation. The project will convene a network of ministries of health from countries across sub-Saharan Africa, as well as leaders in HIV program design and policy, to help countries take differentiated care to scale. The goal is to encourage south-to-south exchange and experience sharing among members through ongoing communication and learning opportunities. Through CQUIN, ICAP will also provide support and expert guidance to generate new information and new models of differentiated care.
“At its core, CQUIN is designed to be a learning network,” notes Dr. Miriam Rabkin, associate professor of Epidemiology and Medicine at the Mailman School of Public Health and director for Health Systems Strategies at ICAP. “The goal is to support countries to work together to take differentiated service delivery to scale,” adds CQUIN Project Director Dr. Peter Preko. “The network will enable countries to share experiences, innovations, and best practices so they can move differentiated care from pilot projects to national programs.”