SynthesisAIDS research and therapy2026
Effectiveness of differentiated antiretroviral therapy delivery models for stable persons living with HIV in Africa: a systematic review and meta-analysis.
Synthesis in AIDS research and therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
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Corrections and comments
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Authors and funding
3 authors.
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No grant is acknowledged in the PubMed record.
Abstract
introductionFundamental progress has been made in HIV care, and one of the major advances was the implementation of Differentiated Service Delivery (DSD) models. DSD models are important in reducing cost in resource-limited countries. However, evidence on the effectiveness of DSD models on stable Persons Living with HIV (PLWH) in comparison with conventional HIV care is limited. Thus, a systematic review and meta-analysis of randomized controlled trials was conducted to assess whether DSD models are more effective than conventional care in improving viral suppression, retention in care, and adherence among stable PLWH in Africa.
methodsA comprehensive search was conducted using PubMed, Embase, Scopus, Cochrane, Research4Life, and Google Scholar. In this study, randomized controlled trials conducted on stable PLWH and reporting at least one of the patient's treatment outcomes (viral suppression, failure, attrition, retention in care, and adherence) were included. The quality of studies was assessed using the revised Cochrane risk of bias tool, and the heterogeneity among studies was assessed using forest plot and Cochran's Q test.
resultsThis study showed that there was no difference in the viral non-suppression (Risk Ratio (RR) = 0.89, 95% CI: 0.74-1.07, I
conclusionThe DSD models have a comparable effect to the conventional care in maintaining sustained viral suppression and care engagement of PLWH.
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