The Center for Global Public Health implements a PEPFAR-supported program: “One-Stop” differentiated service delivery (DSD) model to improve HIV care for moms and babies at four maternal and child health (MCH) clinics in level 2 hospitals (Chawama, Chilenje, Matero and Kanyama) in Lusaka District, Zambia. The one-stop DSD clinic model includes MCH services and a satellite pharmacy. The patient-centered, team-based, DSD care model was implemented in October 2020 to establish and coordinate appointments and prevent interruption in treatment. This was accomplished by introducing five, low-cost, low-intensity interventions: 1) an electronic appointment system, 2) patient appointment reminders with telephone calls and texting, 3) improved signage for ease in identifying service points, 4) sheltered waiting areas to promote and encourage clinic attendance during adverse weather conditions, and 5) a mentoring mom program to provide psychosocial support to pregnant and breastfeeding women.

Patricia Matthews-Juarez, PhD, director