Call for examples of differentiated ART delivery for key populations

The World Health Organization HIV Department, along with the International AIDS Society and other stakeholders, are currently developing a decision framework to support the implementation and scale-up of differentiated service delivery for key populations. In this context, key populations are men who have sex with men, sex workers, people who inject drugs, transgender people, and people in closed settings. Differentiated service delivery is an approach that simplifies and adapts HIV services to better serve the needs of people living with or at risk of acquiring HIV and reduce unnecessary burdens on the health system.

In many countries, a significant effort has been made to reach people in key populations; however, the response remains inadequate, with low coverage and poor access to services. In particular, key populations’ access to antiretroviral therapy (ART) is sometimes overlooked, coverage is low, and strategies to improve coverage are not well documented.

To guide development of the decision framework, we need a better understanding of existing models of ART delivery for key populations. As such, we are calling for examples of good practice of ART initiation and delivery for key populations. These examples will help improve the quality, coverage and equity of ART services for these populations. We aim to collate a range of examples with broad geographical representation, and to include several examples in the decision framework.

We invite you to nominate programme examples of good practice for differentiated ART initiation and delivery to key populations including, but not limited to:

  • community-based initiation of ART for key populations (including on outreach);
  • rapid initiation of ART for key populations;
  • out-of-facility/community-based distribution of ART for key populations (including on outreach);
  • integration of ART delivery within existing key population-focused services;
  • group models of ART delivery to key populations led by health-care workers, lay providers and clients;
  • distribution of ART to key populations by lay providers, particularly peers; and,
  • facility-based ART delivery with specific strategies to improve key population access and/or retention.

We are NOT looking for examples of referral from key population-focused organizations to hospital facilities for ART or case management only.

If you have an example of good practice, please email with the subject “Programme example for key populations” and include the following details.

  • A brief description (1–2 paragraph) of your example:
    • Is the focus on ART initiation and/or ongoing ART delivery?
    • Which key population group(s) do you mainly work with?
    • Where is ART delivered and/or initiated (i.e. type of service, on outreach or at fixed site)?
    • Who provides ART services in your organization (i.e. doctor, nurse, lay provider, peer)?
  • Contact details:
    • Name of organization and/or programme
    • Organization’s web address
    • Your preferred contact email
    • The country/countries/region(s) where your organization is based

Deadline for submissions: 30 November 2017

*: In this call for good practice examples, community-based service means a service that is delivered not within a formal health-care facility, but in a community setting, AND which focuses on delivering services to one or more key population group. The service may be operated by key population members or by other staff.