This thesis was authored by Nwanneka E. Okere and originally published here.

Summary

Differentiated service delivery (DSD) is a patient-centered strategy that aims to prioritize the diverse needs of people living with HIV (PLHIV) while considering health system constraints. While DSD can be implemented, it is important to incorporate the perspective and priorities of the end-users – PLHIV – in the design, implementation, and evaluation of DSD models of care to ensure they become a sustainable and successful addition to care provision. The current thesis focuses on elucidating the impact of a DSD model from the perspectives of stable ART clients. Specifically, the research presented here assessed the impact of DSD considering supply- and demand-side barriers faced by clients while navigating the health system in a typical rural sub-Saharan African (SSA) setting.

Read the full thesis here.