FHI 360, Nairobi, Kenya.
University of Nairobi, Nairobi, Kenya.
Curr HIV/AIDS Rep. 2024 Oct;21(5):257-263. doi: 10.1007/s11904-024-00703-2. Epub 2024 Jul 25.
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.
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.
本文总结了适应于新冠疫情期间维持服务连续性的艾滋病治疗和预防的差异化服务提供（DSD）模式，并提出了在当前和未来的疫情中断期间保持其优势的策略。
新冠疫情导致医疗系统不堪重负、严重中断，迫使各国采取和/或扩大艾滋病服务的 DSD 模式。虽然这些模式最初是作为紧急措施实施的，但随着时间的推移，它们不断发展和完善，以适应服务对象的需求，从而确保在对卫生系统影响最小的情况下，继续提供艾滋病的治疗和预防服务。成功的模式采用了任务分担、以社区为基础的交付模式、多月份处方和配药，以及远程咨询的远程医疗。DSD 模式使全球的艾滋病服务能够在新冠疫情期间得以维持。虽然这些模式和调整措施对于解决疫情造成的健康差距和中断至关重要，但它们在提高效率和获得以客户为中心的服务方面也具有优势，应该得到维持。
