Sustaining HIV Service Delivery in the Context of the COVID-19 Pandemic in PEPFAR-Supported Countries in the Asia Region

This report highlights adaptive service delivery approaches in response to the COVID-19 pandemic within HIV programs supported by PEPFAR in the Asia Region. The report outlines the HIV situation in these countries, explores the impact the COVID-19 pandemic has had on HIV programs, and discusses possible future effects. It also looks at four HIV service delivery approaches in the region that have been adapted and employed in response to COVID-19: (1) multi-month dispensing of antiretroviral therapy (ART) and pre-exposure prophylaxis (PrEP), (2) virtual outreach and telehealth, (3) community-led delivery of ART and PrEP (and other services), and (4) promotion of HIV self-testing. These service delivery approaches are assessed on their delivery mechanisms, benefits, costs, impacts, and what is needed for scale-up and expansion. The report concludes with a look at each approach regarding sustainability and expansion and makes some recommendations on possible ways forward. The information presented in this document can support program managers and policymakers in making informed decisions about sustaining HIV program service delivery during the COVID-19 pandemic and beyond.

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