At present, long-acting injectable formulations require administration by healthcare workers on a monthly or bi-monthly basis. At the same time, data from PEPFAR-supported programmes highlights that 79% of people on ART were receiving at least three months of ART at a time. Many of these ART refills are collected from fast-track systems at a health facility or from community-based settings staffed by lay providers with clinical consultations limited to once or twice a year.
The aim of the session is to: 1) present the landscape of widely implemented differentiated service delivery [1] models for HIV prevention and treatment; 2) discuss current challenges in service delivery differentiation and integration that could be addressed by long-acting formulations and delivery platforms; 3) outline key considerations from a service delivery perspective that should be considered in the development and implementation of long-acting formulations and delivery platforms; and 4) hear perspectives from communities, civil society, ministries of health and frontline providers on what is required to better enable new long-acting technologies utilization within service delivery systems.