Differentiated models of service delivery for antiretroviral treatment of HIV in sub- Saharan Africa: a rapid review protocol

By  Dr. Lawrence Long  Salome Kuchukhidze  Dr. Sophie Pascoe  Dr. Brooke Nichols  Refiloe Cele  Caroline Mandimika  Dr. Amy Huber  David Flynn  Professor Sydney Rosen  |  | 

Background: To meet global targets for the treatment of HIV, high-prevalence countries are launching or expanding differentiated models of service delivery (DSD) for antiretroviral therapy (ART). Ongoing studies report on metrics specific to individual models of care, but little is known about the overall scale, impact, costs, and benefits of widespread implementation of DSD. We will conduct a rapid review of recent literature on DSD currently in use in sub-Saharan Africa and identify gaps in the literature with respect to the description of delivery models,
coverage, effectiveness, and cost.
Methods: We will use an adapted version of the preferred reporting items for systematic reviews and meta-analysis protocols (PRISMA-P) for reporting. To avoid repeating earlier reviews, only sources reporting data on interventions conducted and/or patients starting antiretroviral treatment since 1 January 2016 will be included.

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