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    Mar 03, 2021
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    For Family-Centered Differentiated Service Delivery for HIV

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    Name:
    Grimsrud et al - 2018 - The case ...
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    Authors
    Grimsrud, A
    Bygrave, H
    Wilkinson, L
    Issue Date
    2018-08-15
    Submitted date
    2018-07-17
    
    Metadata
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    Journal
    Journal of Acquired Immune Deficiency Syndromes
    Abstract
    Differentiated care, or differentiated service delivery (DSD), is increasingly being promoted as one of the possible ways to address and improve access, quality, and efficiency of HIV prevention, care, and treatment. Family-centered care has long been promoted within the provision of HIV services, but the full benefits have not necessarily been realized. In this article, we bring together these two approaches and make the case for how family-centered DSD can offer benefits to both people affected by HIV and the health system. Family-centered DSD approaches are presented for HIV testing and antiretroviral therapy (ART) delivery, referencing policies, best practice examples, and evidence from the field. With differentiated family-centered ART delivery, the potential efficiencies gained by extending ART refills can both benefit clients by reducing the frequency and intensity of contact with the health service and lead to health system gains by not requiring multiple providers to care for one family. A family-centered DSD approach should also be leveraged along the HIV care cascade in the provision of prevention technologies and mobilizing family members to receive regular HIV testing. Furthermore, a family-centered lens should be applied wherever DSD is implemented to ensure that, for example, adolescents who are pregnant receive an adapted package of quality care.
    Publisher
    Lippincott Williams & Wilkins
    URI
    http://hdl.handle.net/10144/619259
    DOI
    10.1097/QAI.0000000000001733
    PubMed ID
    29994834
    Language
    en
    ISSN
    1944-7884
    ae974a485f413a2113503eed53cd6c53
    10.1097/QAI.0000000000001733
    Scopus Count
    Collections
    HIV/AIDS

    entitlement

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