Analysis of Efficiency Gains for Antiretroviral Therapy at the Facility Level in Tanzania

There is broad agreement globally that a “one size fits all” model for HIV services is not cost efficient and will not succeed in providing sustainable access to antiretroviral therapy. Differentiated care simplifies and adapts HIV services to reflect preferences of specific groups of people living with HIV, while also reducing unnecessary burdens on the health system, allowing for reallocation of resources to those most in need. In 2016, the National AIDS Control Program in Tanzania adopted a “test and start” policy for HIV treatment, which dramatically increases the number of people eligible for treatment and calls for increased efficiency of services. Results from two analyses can help inform policy decisions around allocation of resources to more effectively deliver care in ways that lead to better access for underserved populations and improve the quality of care for people living with HIV.

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