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Over the past decade, research on the benefits of differentiated service delivery (DSD) for HIV treatment has proliferated. Today, the World Health Organization (WHO) endorses four DSD HIV treatment models for people established on antiretroviral therapy (ART) and countries have adopted and expanded DSD implementation. During COVID-19, ART programmes were resilient, leveraging existing DSD systems to achieve scale and increase access by expanding who was eligible, extending antiretroviral therapy refills and intensifying the scale-up of community-based service delivery. Since 2020, IAS – the International AIDS Society – has convened the Global DSD Research Collaborative to work collectively and efficiently to fill evidence gaps around HIV service delivery. In this satellite, this network of researchers will summarize the state of the evidence for DSD for HIV treatment, including evidence gaps and key science highlights from the AIDS 2022 pre-conference DSD for HIV in 2022. This will be followed by a presentation on how best to answer the outstanding questions focusing on research methodologies appropriate in the DSD context and the role of implementation science versus traditional randomized control trials. Finally, aspirations for the future of the research space around HIV service delivery with be shared. This session will be of interest to researchers and methodologists, policy makers and the broader HIV community.

08:03
2 min
Welcome and overview
Peter EHRENKRANZ, Bill & Melinda Gates Foundation, United States
08:05
10 min
The science of differentiated service delivery: Where are we
Nathan FORD, WHO, Switzerland
08:15
10 min
Expanding and accelerating access to DSD for HIV treatment during COVID-19: Implementation science from Mozambique
Julio PACCA, Abt Associates, Mozambique
08:25
10 min
Integrating hypertension treatment and support into DSD for HIV treatment models
Khumbo NYIRENDA, Partners in Hope, Malawi
Risa HOFFMAN, UCLA, United States
08:35
10 min
Impact of DSD for HIV treatment on healthcare workers: Lessons from AMBIT
Nkgomeleng LEKODEBA, Health Economics and Epidemiology Research Office, South Africa
08:45
10 min
The science of differentiated service delivery: Where we are going
Anna GRIMSRUD, International AIDS Society, South Africa
08:55
5 min
Closing reflections
Kombatende SIKOMBE, Centre for Infectious Disease Research in Zambia, Zambia
Anna GRIMSRUD, International AIDS Society, South Africa
Nkgomeleng LEKODEBA, Health Economics and Epidemiology Research Office, South Africa
Khumbo NYIRENDA, Partners in Hope, Malawi
Nathan FORD, WHO, Switzerland
Jienchi DORWARD, University of Oxford & CAPRISA, United Kingdom
Risa HOFFMAN, UCLA, United States