Skip to Content

Health Service Delivery

Delivery of Services to Prevent, Treat, and Manage HIV/AIDS

Delivering services is one of the core functions of a health system. Priorities for service delivery include: ensuring adequate and maintained service delivery infrastructure; defining the content of integrated service delivery packages based on cost effectiveness data and service delivery standards; protecting the safety and quality of services; and linking service delivery points – including those operated by private providers – through functioning referral systems. Several specific examples of service delivery activities undertaken within a health systems strengthening approach that have impacted HIV and AIDS outcomes are described below.

  • Decentralization of service delivery functions

The future of ART service delivery lies in a case management model used to manage chronic disease. This means decentralizing ART service delivery functions to the lowest levels of the health care system where people have easy and ready access to services. Building on Health Systems 20/20’s special expertise in creating paper/electronic-based patient tracking systems, Health Systems 20/20 is now preparing to support the Department of Human Resources’ efforts in Côte d’Ivoire to develop an information system capable of providing up-to-date human resource data. The Human Resource Information System (HRIS) will monitor human resource needs to support the sustained delivery of quality HIV/AIDS services to patients in Côte d’Ivoire. At the lower levels of the health care system, the project is also seeking to support newly decentralized institutional structures to complement the Ministry of Health and Public Hygiene’s funded efforts to support the introduction and expansion of decentralized, sustainable, quality HIV services.

  • Improving the quality of public and private service provision

Responding to HIV/AIDS requires mobilizing all qualified professionals and facilities. Health Systems 20/20 has assisted professional associations and other oversight bodies in defining and introducing accreditation criteria for the provision of specialized services, including antiretroviral therapy (ART).