Differentiated Service Delivery Models for Maintaining HIV Treatment and Prevention Services During Crisis and Disease Outbreaks: Lessons from the COVID-19 Pandemic.

IF 3.7 2区医学 Q2 INFECTIOUS DISEASES

Current HIV/AIDS Reports Pub Date : 2024-10-01 Epub Date: 2024-07-25 DOI:10.1007/s11904-024-00703-2

Njambi Njuguna, Christopher Akolo, Omu Anzala, Jared M Baeten, Renee Heffron, Nelly R Mugo, Moses Bateganya

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引用次数: 0

Abstract

Purpose of review: This review summarizes differentiated service delivery (DSD) models for HIV treatment and prevention that have been adapted for maintaining continuity of services during the COVID-19 pandemic and proposes strategies for sustaining their benefits now and during future disruptions.

Recent findings: The COVID-19 pandemic resulted in an overburdened and disrupted health system, forcing countries to adopt and/or scale up DSD models for HIV services. While initially implemented as emergency measures, these models evolved and were refined over time to fit recipient needs ensuring continued HIV treatment and prevention services with minimal health system impact. Successful models employed task shifting, community-based delivery models, multimonth scripting and dispensing, and telehealth for remote consultation. DSD models enabled HIV services globally to be maintained during the COVID-19 pandemic. Though these models and adaptations were critical in addressing health gaps and disruptions caused by the pandemic, they were beneficial in improving efficiency and access to client-centered services and should be sustained.

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在危机和疾病爆发期间维持艾滋病毒治疗和预防服务的差异化服务提供模式：从 COVID-19 大流行中吸取的教训》。

综述的目的：本综述总结了在 COVID-19 大流行期间为保持服务连续性而调整的艾滋病毒治疗和预防的差异化服务提供（DSD）模式，并提出了在现在和未来发生混乱时保持其效益的策略：COVID-19 大流行导致卫生系统负担过重、功能紊乱，迫使各国采用和/或扩大 DSD 模式提供艾滋病服务。虽然这些模式最初是作为应急措施实施的，但随着时间的推移不断发展和完善，以适应受援国的需求，确保在对卫生系统影响最小的情况下持续提供艾滋病治疗和预防服务。成功的模式采用了任务转移、以社区为基础的提供模式、多月脚本和配药以及远程会诊的远程医疗。在 COVID-19 大流行期间，DSD 模式使全球的艾滋病毒服务得以维持。尽管这些模式和调整在解决大流行病造成的卫生差距和混乱方面至关重要，但它们在提高效率和获得以客户为中心的服务方面是有益的，应继续保持。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current HIV/AIDS Reports INFECTIOUS DISEASES-

CiteScore

8.10

自引率

2.20%

发文量

期刊介绍： This journal intends to provide clear, insightful, balanced contributions by international experts that review the most important, recently published clinical findings related to the diagnosis, treatment, management, and prevention of HIV/AIDS. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as antiretroviral therapies, behavioral aspects of management, and metabolic complications and comorbidity. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.