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April 30, 2024BMC Health Services ResearchOpen Access

Reducing time to differentiated service delivery for newly-diagnosed people living with HIV in Kigali, Rwanda: a pilot, unblinded, randomized controlled trial

Jonathan Ross Kathryn Anastos Sarah Hill Eric Remera Gallican Rwibasira Charles Ingabire Francine Umwiza Athanase Munyaneza Benjamin Muhoza Chenshu Zhang Denis Nash Marcel Yotebieng Gad Murenzi

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Abstract

Differentiated service delivery (DSD) programs for people living with HIV (PWH) limit eligibility to patients established on antiretroviral therapy (ART), yet uncertainty exists regarding the duration on ART necessary for newly-diagnosed PWH to be considered established. We aimed to determine the feasibility, acceptability, and preliminary impact of entry into DSD at six months after ART initiation for newly-diagnosed PWH.

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Ross et al. (2024) studied this question.

synapsesocial.com/papers/68e6cbfeb6db64358764a3f5 https://doi.org/10.1186/s12913-024-10950-z

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Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

1Effectiveness and experiences with differentiated service delivery of HIV care in Kisumu County, Kenya: A mixed methods study, 2014–20212025 · 1 citations
2Indirect effects of HIV differentiated service delivery programmes on quality of clinic care: a retrospective cohort study of clients starting antiretroviral therapy2025
3A sequential multiple assignment randomized trial of scalable interventions for ART delivery in South Africa: the SMART ART studyRCT · 2026
4Differentiated Services Delivery Model Uptake and Outcomes in Uganda: Gaps, Facilitators, and Barriers - A Mixed Methods Study 2019–20212025
5Evaluating Antiretroviral Therapy Service Delivery Models Through Lot Quality Assurance Sampling in Central Uganda2024 · 3 citations

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Non-communicable disease (NCD) risk among people living with HIV in KwaZulu-Natal, South Africa: evidence from a randomised trial of community-based differentiated service delivery2026
Evaluating the impact of differentiated service delivery (DSD) on retention in care and HIV viral suppression in South Africa: A target trial emulation using routine healthcare data2025
Enhancing HIV treatment and support: a qualitative inquiry into client and healthcare provider perspectives on differential service delivery models in Uganda2024

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