ArticleJournal of the International AIDS Society2017
Phased implementation of spaced clinic visits for stable HIV-positive patients in Rwanda to support Treat All.
Article in Journal of the International AIDS Society, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Impact of Women's Home Environment on Use of the Dapivirine Vaginal Ring for HIV Prevention in Sub-Saharan Africa.AIDS and behavior · 2021Trial
- Trial
- Determinants of cardiovascular and metabolic noncommunicable diseases among people living with HIV in Rwanda: protocol for the NCOHIRWA prospective cohort study.BMC infectious diseases · 2026Article
- Article
- Is the Differentiated Service Delivery Model Suited to the Needs of People Living with HIV in Rwanda?AIDS and behavior · 2024Article
- Characteristics and clinical outcomes of patients presenting with advanced HIV disease in the "treat all" era: a retrospective cohort study from rural Rwanda.BMC infectious diseases · 2022Article
- Long-term effect of chronic hepatitis B on mortality in HIV-infected persons in a differential HBV transmission setting.BMC infectious diseases · 2022Article
- HIV incidence and prevalence among adults aged 15-64 years in Rwanda: Results from the Rwanda Population-based HIV Impact Assessment (RPHIA) and District-level Modeling, 2019.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2022Article
- Determinants of Six-Month Appointment Spacing Model Utilization Among ART Clients in the Public Health Facilities of Jimma Town, Southwest Ethiopia: Case-Control Study.HIV/AIDS (Auckland, N.Z.) · 2021Article
- A Review of Differentiated Service Delivery for HIV Treatment: Effectiveness, Mechanisms, Targeting, and Scale.Current HIV/AIDS reports · 2019Review
- Health-related quality of life and associated factors in adults living with HIV in Rwanda.SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance · 2018Article
- Adherence to antiretroviral therapy, stigma and behavioral risk factors in HIV-infected adolescents in Asia.AIDS care · 2018Article
- The global epidemiology of adolescents living with HIV: time for more granular data to improve adolescent health outcomes.Current opinion in HIV and AIDS · 2018Review
- Patient and health worker experiences of differentiated models of care for stable HIV patients in Malawi: A qualitative study.PloS one · 2018Article
- Evidence for scale up: the differentiated care research agenda.Journal of the International AIDS Society · 2017Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
introductionIn 2016, Rwanda implemented "Treat All," requiring the national HIV programme to increase antiretroviral (ART) treatment coverage to all people living with HIV. Approximately half of the 164,262 patients on ART have been on treatment for more than five years, and long-term retention of patients in care is an increasing concern. To address these challenges, the Ministry of Health has introduced a differentiated service delivery approach to reduce the frequency of clinical visits and medication dispensing for eligible patients. This article draws on key policy documents and the views of technical experts involved in policy development to describe the process of implementation of differentiated service delivery in Rwanda. DISCUSSION: Implementation of differentiated service delivery followed a phased approach to ensure that all steps are clearly defined and agreed by all partners. Key steps included: definition of scope, including defining which patients were eligible for transition to the new model; definition of the key model components; preparation for patient enrolment; considerations for special patient groups; engagement of implementing partners; securing political and financial support; forecasting drug supply; revision, dissemination and implementation of ART guidelines; and monitoring and evaluation.
conclusionsBased on the outcomes of the evaluation of the new service delivery model, the Ministry of Health will review and strategically reduce costs to the national HIV program and to the patient by exploring and implementing adjustments to the service delivery model.
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