Our research projects use implementation science to develop and test differentiated service delivery (DSD) models for HIV pre-exposure prophylaxis (PrEP) in Kenya to inform national, regional, and global PrEP scale up, Fig. 1. DSD models vary what services are delivered by whom, where, and when in an effort to expand reach and access to those in need. Through our projects, we aim to generate evidence on DSD models that have the potential to mitigate known client-facing barriers to accessing PrEP services at public healthcare facilities (e.g., long wait times and travel distances, stigma associated with HIV clinics) and reach populations at risk of HIV acquisition that are not currently engaged in traditional facility-based care. Ultimately, we aim to help simplify and de-medicalize PrEP care so that individuals can easily start, stop, and re-start PrEP services as their HIV risk fluctuates over time.
Fig. 1. Overview of some of our current research projects, mapped to different domains of DSD.