Over the past decade, countries have made significant strides in adopting and scaling up differentiated service delivery (DSD) models across the HIV cascade. However, the abrupt shift in global HIV funding—particularly the US foreign aid funding freeze—now threatens this progress. This session will explore how countries are responding to these financial pressures, with a focus on the evolving role of DSD in building a sustainable HIV response.
Featuring voices from ministries of health, civil society, and donor agencies, the session will highlight how decisions around prioritizing clinical and service delivery elements are being made. It will examine the place of DSD within broader health systems, particularly in relation to service integration for other chronic conditions and delivery through primary care. Participants will engage with emerging data on how the funding freeze is impacting existing DSD models and hear early insights into whether DSD remains part of countries’ minimum service packages.
Key lessons in resilience, innovation, and leadership will be shared, offering practical insights for HIV services amid funding uncertainty. The session is geared toward civil society, government leaders, programme implementers, healthcare professionals, researchers, and funders.
