Differentiated service delivery (DSD) is an evidence-based HIV care and treatment model endorsed by the World Health Organization (WHO) that simplifies HIV services for clients who are clinically stable, improving the quality and efficiency of HIV services. The goal of this implementation-effectiveness pilot study is to evaluate the implementation of a DSD model for pregnant and postpartum women living with HIV and their infants enrolled in care at Huruma Sub-District Hospital in Kenya.
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Number of barriers and facilitators to DSD implementation
Timeframe: One month before implementation of the DSD model in the clinic
Median difference in number of minutes of PMTCT appointment duration before versus after DSD implementation
Timeframe: One month before and 6 months after implementation of the DSD model in the clinic
Reach
Timeframe: One month before and 6 months after implementation of the DSD model in the clinic
Effectiveness, clinic operations level
Timeframe: One month before and during the 12-month period of DSD implementation in the clinic
Proportion of participants who are virally suppressed <50 copies/mL
Timeframe: One month before and during the 12-month period of DSD implementation in the clinic
Proportion of children alive and HIV negative
Timeframe: One month before and during the 12-month period of DSD implementation in the clinic
Proportion of participants retained in care
Timeframe: One month before and during the 12-month period of DSD implementation in the clinic
Proportion of healthcare workers who adopt the DSD model
Timeframe: During the 12-month period of DSD implementation in the clinic
Proportion of PMTCT clients triaged correctly according to the DSD model
Timeframe: During the initial 6 months of DSD implementation in the clinic
Proportion of patients who perceive the DSD model to be acceptable
Timeframe: During the 12-month period of DSD implementation in the clinic
Proportion of PMTCT clients triaged correctly according to the DSD model at 12 months
Timeframe: At 12 months following the start of DSD implementation in the clinic
Proportion of providers who perceive the DSD model to be acceptable
Timeframe: During the 12-month period of DSD implementation in the clinic