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Effectiveness and experiences with differentiated service delivery of HIV care in Kisumu County, Kenya

A mixed methods study, 2014–2021

Datos Bibliográficos

ID19593637
AutoresFrancesca Odhiambo (0000-0002-3503-2294, Kenya Medical Research Institute, autor de correspondencia), Raphael Onyango Mando (0000-0002-6148-0218, Kenya Medical Research Institute, autor de correspondencia), Jayne Lewis-Kulzer (0000-0003-3314-9891, University of California, San Francisco, autor de correspondencia), A Rain Mocello (0000-0001-8742-7928, University of California, San Francisco, autor de correspondencia), Maurice Aluda (0000-0003-3244-8320, Kenya Medical Research Institute, autor de correspondencia), Edwin Mulwa (0000-0002-1932-3868, Kenya Medical Research Institute, autor de correspondencia), Appolonia Aoko (0000-0001-6597-607X, Centers for Disease Control and Prevention, autor de correspondencia), Paul Musingila (0000-0002-8453-9120, Centers for Disease Control and Prevention, autor de correspondencia), Elizabeth A Bukusi (0000-0002-2031-2808, Kenya Medical Research Institute, autor de correspondencia), Elizabeth Bukusi, Craig R Cohen (0000-0001-8654-6634, University of California, San Francisco, autor de correspondencia)
EditoresJohn M Francis (0000-0003-1902-2683)
Año2025
Volumen5
Número8
Páginase0004481
Fecha de publicación2025-08-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaPLOS Global Public Health (JOURNAL)
Identificadores de la revistaISSN: 2767-3375 • E-ISSN: 2767-3375
EditorialPublic Library of Science (PLoS) (PUBLISHER)
DOI10.1371/journal.pgph.0004481
PMID40748915
OpenAlexW4412838076
IdiomaEN
Referencias citadas34

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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