Regional Policy Brief: A focus on differentiated service delivery for adolescents and young people living with HIV

The objective of this situational analysis is to review evidence to-date on differentiated service delivery and differentiated treatment platforms for ART delivery for AYLHIV in East and Southern Africa (ESA). As per the scope of work, the focus includes adolescent-focused, community and health facility-based treatment models where antiretroviral therapy (ART) refills are included – including, but not limited to, community ART refill groups (CARGS)/ community ART adherence groups (CAAGS). In doing so, it aims to:

• Take stock of programmatic, experiential and academic evidence to-date on differentiated service and ART delivery for AYPLHIV.

• Examine strengths, gaps, challenges and identify future directions of differentiated service and ART delivery for AYPLHIV;

• Generate evidence and document current differentiated service and ART delivery platforms for AYPLHIV in ESA;

• Feature some promising and effective models involving differentiated service and ART delivery for AYPLHIV in the ESA region;

• Highlight pertinent research questions and gaps for consideration; and

• Make recommendations for a way forward, including replication, scale-up, and future directions.