Project Last Mile in South Africa supports a national differentiated service delivery (DSD) model for integrated disease management and improved access to antiretrovirals (ARVs)
Sarah Christie, Lingrui Liu, Maggie Munsamy, Phil Roberts, Merlin Pillay, Erika Linnander, Mayur Desai
Background
Background
In South Africa,
In South Africa,
7.7M living with HIV and 4.8M on ARVs
NCDs account for 51% of mortality
Differentiated service delivery (DSD) is well-positioned to address both, but there are limited examples of integration at scale.
Differentiated service delivery (DSD) is well-positioned to address both, but there are limited examples of integration at scale.
Intervention
Intervention
Project Last Mile applies private sector expertise to strengthen public health systems in Africa. Since 2016, PLM supported the Central Chronic Medications Distribution and Dispensing (CCMDD) of the National Department of Health with:
Project Last Mile applies private sector expertise to strengthen public health systems in Africa. Since 2016, PLM supported the Central Chronic Medications Distribution and Dispensing (CCMDD) of the National Department of Health with:
Methods
Methods
Yale used mixed methods to assess the expansion of CCMDD over time.
Yale used mixed methods to assess the expansion of CCMDD over time.
Results
Results
Since March 2016, CCMDD has reached:
Since March 2016, CCMDD has reached:
46 health districts (88% nationally)
3,479 facilities (94.6% coverage)
2,088 external pick-up points
3 million registered patients
Integrated DSD models at national scale improve access to both ARVs and treatment for other chronic diseases, with benefit from private sector support.
Integrated DSD models at national scale improve access to both ARVs and treatment for other chronic diseases, with benefit from private sector support.