VITAL

Assessment of a viral load result-driven automated differentiated service delivery model for people taking antiretroviral therapy in Lesotho.

Shift from a “one-size-fits-all” approach to differentiated service delivery.

An increasing number of people living with HIV are receiving antiretroviral therapy. As their treatment outcomes vary, a shift from today’s »one-size-fits-all« approach to differentiated service delivery is necessary.

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VITAL is a cluster randomized trial in Lesotho…

18 rural, and nurse-led health centers in the districts of Butha Buthe and Mokhotlong are participating.

 
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…testing an automated differentiated service delivery model guided by the VITALapp;

The VITALapp provides treatment recommendations according to clinical characteristics, subpopulation needs, and clients’ and providers’ preferences.

 
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…and if non-inferior to the standard of care, assessing the cost-effectiveness of the VITAL model.

The VITAL model aims at allowing health systems and patients to save resources while improving the quality of care.