The Journal of the International AIDS Society (JIAS) announced the launch of a new supplement, titled “Differentiated service delivery – beyond HIV treatment for integration and other health needs”. The supplement was guest edited by Anna Grimsrud (International AIDS Society, South Africa), Charles B. Holmes (Georgetown University, United States) and Linda Sande (University of the Witwatersrand, South Africa).
Steep US funding cuts since January 2025 have jeopardized HIV services globally, threatening to dismantle decades of hard-won progress in HIV services. Differentiated service delivery (DSD) is the thread that connects crisis to opportunity, HIV to broader health needs, and today’s challenges to tomorrow’s innovations.
“We built DSD to deliver better HIV care—but its value now goes far beyond HIV. In a time of crisis, DSD is one of our strongest tools for protecting both people and progress.” – Anna Grimsrud, Charles B. Holmes & Linda Sande
This collection of articles showcases that DSD-based approaches, such as multi-month dispensing, community health worker models and out-of-facility delivery, offer cost-effective and scalable alternatives to traditional clinic-based care.
Future HIV innovations — including long-acting prevention and treatment and self-injectable medications — will achieve their potential only if delivered through differentiated, person-centred models rather than traditional one-size-fits-all approaches. Countries that embed DSD into their primary care strategies today are not only protecting current HIV gains — they are building resilient health systems that can withstand future funding volatility.
The supplement was developed by IAS – the International AIDS Society – and supported by a Gates Foundation grant. The IAS has full control over all the activities and decisions relating to, and forming part of, the IAS Differentiated Service Delivery programme. The content is solely the responsibility of the authors and does not necessarily represent the views of the IAS or the Gates Foundation. The Gates Foundation has not had any input into the content of the supplement.
Access the supplement here.
Source : International AIDS Society
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