Effectiveness and experiences with differentiated service delivery of HIV care in Kisumu County, Kenya
A mixed methods study, 2014–2021
Bibliographic Data
| ID | 19593637 |
|---|---|
| Authors | Francesca Odhiambo (0000-0002-3503-2294, Kenya Medical Research Institute, corresponding author), Raphael Onyango Mando (0000-0002-6148-0218, Kenya Medical Research Institute, corresponding author), Jayne Lewis-Kulzer (0000-0003-3314-9891, University of California, San Francisco, corresponding author), A Rain Mocello (0000-0001-8742-7928, University of California, San Francisco, corresponding author), Maurice Aluda (0000-0003-3244-8320, Kenya Medical Research Institute, corresponding author), Edwin Mulwa (0000-0002-1932-3868, Kenya Medical Research Institute, corresponding author), Appolonia Aoko (0000-0001-6597-607X, Centers for Disease Control and Prevention, corresponding author), Paul Musingila (0000-0002-8453-9120, Centers for Disease Control and Prevention, corresponding author), Elizabeth A Bukusi (0000-0002-2031-2808, Kenya Medical Research Institute, corresponding author), Elizabeth Bukusi, Craig R Cohen (0000-0001-8654-6634, University of California, San Francisco, corresponding author) |
| Editors | John M Francis (0000-0003-1902-2683) |
| Year | 2025 |
| Volume | 5 |
| Issue | 8 |
| Pages | e0004481 |
| Publication date | 2025-08-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | PLOS Global Public Health (JOURNAL) |
| Journal identifiers | ISSN: 2767-3375 • E-ISSN: 2767-3375 |
| Publisher | Public Library of Science (PLoS) (PUBLISHER) |
| DOI | 10.1371/journal.pgph.0004481 |
| PMID | 40748915 |
| OpenAlex | W4412838076 |
| Language | EN |
| References cited | 34 |
The adoption of the test and treat policy by the World Health Organization (WHO) in 2015 led to an unprecedented increase in the number of people living with HIV (PLHIV) enrolling into HIV treatment, thereby increasing the burden on HIV service delivery. To compensate, WHO endorsed the Differentiated Service Delivery (DSD) approach to reduce the burden on the health care system and therefore support attainment of the UNAIDS 95-95-95 goals by 2030. This study examined clinical outcomes among clients enrolled in the DSD models and examined health care worker and client experiences of the DSD approach. A client-level pre-post study was conducted in 14 Ministry of Health (MOH) facilities in Kisumu County from October 2014 – March 2021 to examine retention and viral load suppression (
Business · Christian ministry · Cohort · Family medicine · Focus group · Health care · Service delivery framework · Workload · Global Maternal and Child Health · HIV/AIDS Impact and Responses · HIV/AIDS Research and Interventions · Medicine · Nursing · Internal Medicine
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| Citation velocity | historical |
|---|---|
| Highly cited | No |