Health provider perspectives on differentiated service delivery for HIV in Oyo state, Nigeria: exploring the experiences of service providers from a demand perspective
Abstract Background Differentiated Service Delivery (DSD) models have been introduced to optimise HIV care by adapting services to client needs while reducing the burden on healthcare systems. In Nigeria, where HIV prevalence remains high. Understanding provider perspectives is critical to improving...
Saved in:
| Main Authors: | , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-08-01
|
| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12913-025-13283-7 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849226475083923456 |
|---|---|
| author | Adelaja Modupe Gift Folahanmi Tomiwa Akinsolu Olunike Rebecca Abodunrin Akim Tafadzwa Lukwa Mobolaji Timothy Olagunju Adekemi Akinpelu Ogunwale Mercy Mary Ola Oluwabukola Mary Dolapo Omotayo Raji Lilian Ogochukwu Ezechi Aisha Oluwaseun Gambari Oliver Chukwujekwu Ezechi |
| author_facet | Adelaja Modupe Gift Folahanmi Tomiwa Akinsolu Olunike Rebecca Abodunrin Akim Tafadzwa Lukwa Mobolaji Timothy Olagunju Adekemi Akinpelu Ogunwale Mercy Mary Ola Oluwabukola Mary Dolapo Omotayo Raji Lilian Ogochukwu Ezechi Aisha Oluwaseun Gambari Oliver Chukwujekwu Ezechi |
| author_sort | Adelaja Modupe Gift |
| collection | DOAJ |
| description | Abstract Background Differentiated Service Delivery (DSD) models have been introduced to optimise HIV care by adapting services to client needs while reducing the burden on healthcare systems. In Nigeria, where HIV prevalence remains high. Understanding provider perspectives is critical to improving and sustaining DSD implementation. This study explored the experiences, challenges, and recommendations of healthcare providers involved in DSD delivery in Ibadan North, Oyo State. Methods A qualitative descriptive study was conducted between July and September 2024, involving 11 key informant interviews and two focus group discussions across three DSD-implementing facilities. Participants included clinicians, ART counsellors, HTS providers, retention officers, and program managers. Data were analysed thematically using NVivo 12 software, following the Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines. Results Five core themes emerged: perceived benefits of DSD models, implementation challenges, eligibility and suitability of clients, human resource capacity and training, and strategic recommendations for sustainability. Providers reported that DSD models improved accessibility, reduced clinic congestion, and enhanced patient retention and viral suppression. However, challenges such as inaccurate client data, dependency on community models, systemic inefficiencies, and inadequate training impeded effective implementation. Participants emphasised the need for policy alignment, community engagement, capacity building, and stronger monitoring systems. Conclusion DSD models hold promise for improving HIV service delivery in Nigeria. However, their success depends on addressing structural and operational challenges, tailoring approaches to local contexts, and strengthening health workforce capacity. These findings provide critical insights to inform national policy, support program scale-up, and contribute to achieving the UNAIDS 95-95-95 and SDG 3.3 targets. |
| format | Article |
| id | doaj-art-0f12cfc886c2407c9c072738aa3cdeda |
| institution | Kabale University |
| issn | 1472-6963 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj-art-0f12cfc886c2407c9c072738aa3cdeda2025-08-24T11:15:24ZengBMCBMC Health Services Research1472-69632025-08-0125111410.1186/s12913-025-13283-7Health provider perspectives on differentiated service delivery for HIV in Oyo state, Nigeria: exploring the experiences of service providers from a demand perspectiveAdelaja Modupe Gift0Folahanmi Tomiwa Akinsolu1Olunike Rebecca Abodunrin2Akim Tafadzwa Lukwa3Mobolaji Timothy Olagunju4Adekemi Akinpelu5Ogunwale Mercy Mary6Ola Oluwabukola Mary7Dolapo Omotayo Raji8Lilian Ogochukwu Ezechi9Aisha Oluwaseun Gambari10Oliver Chukwujekwu Ezechi11Department of Public Health, Faculty of Basic Medical and Health Sciences, Lead City UniversityDepartment of Public Health, Faculty of Basic Medical and Health Sciences, Lead City UniversityDepartment of Public Health, Faculty of Basic Medical and Health Sciences, Lead City UniversityHealth Economics Unit, School of Public Health and Family Medicine, Faculty of Health Sciences, University of Cape TownDepartment of Biostatistics and Epidemiology, Nanjing Medical UniversityDepartment of Public Health, Faculty of Basic Medical and Health Sciences, Lead City UniversityDepartment of Public Health, Faculty of Basic Medical and Health Sciences, Lead City UniversityDepartment of Public Health, Faculty of Basic Medical and Health Sciences, Lead City UniversityCenter for Reproduction and Population Health Studies, Nigerian Institute of Medical ResearchCenter for Reproduction and Population Health Studies, Nigerian Institute of Medical ResearchCenter for Reproduction and Population Health Studies, Nigerian Institute of Medical ResearchDepartment of Public Health, Faculty of Basic Medical and Health Sciences, Lead City UniversityAbstract Background Differentiated Service Delivery (DSD) models have been introduced to optimise HIV care by adapting services to client needs while reducing the burden on healthcare systems. In Nigeria, where HIV prevalence remains high. Understanding provider perspectives is critical to improving and sustaining DSD implementation. This study explored the experiences, challenges, and recommendations of healthcare providers involved in DSD delivery in Ibadan North, Oyo State. Methods A qualitative descriptive study was conducted between July and September 2024, involving 11 key informant interviews and two focus group discussions across three DSD-implementing facilities. Participants included clinicians, ART counsellors, HTS providers, retention officers, and program managers. Data were analysed thematically using NVivo 12 software, following the Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines. Results Five core themes emerged: perceived benefits of DSD models, implementation challenges, eligibility and suitability of clients, human resource capacity and training, and strategic recommendations for sustainability. Providers reported that DSD models improved accessibility, reduced clinic congestion, and enhanced patient retention and viral suppression. However, challenges such as inaccurate client data, dependency on community models, systemic inefficiencies, and inadequate training impeded effective implementation. Participants emphasised the need for policy alignment, community engagement, capacity building, and stronger monitoring systems. Conclusion DSD models hold promise for improving HIV service delivery in Nigeria. However, their success depends on addressing structural and operational challenges, tailoring approaches to local contexts, and strengthening health workforce capacity. These findings provide critical insights to inform national policy, support program scale-up, and contribute to achieving the UNAIDS 95-95-95 and SDG 3.3 targets.https://doi.org/10.1186/s12913-025-13283-7Differentiated service deliveryHIV careAntiretroviral therapyART adherencePatient retentionQualitative study |
| spellingShingle | Adelaja Modupe Gift Folahanmi Tomiwa Akinsolu Olunike Rebecca Abodunrin Akim Tafadzwa Lukwa Mobolaji Timothy Olagunju Adekemi Akinpelu Ogunwale Mercy Mary Ola Oluwabukola Mary Dolapo Omotayo Raji Lilian Ogochukwu Ezechi Aisha Oluwaseun Gambari Oliver Chukwujekwu Ezechi Health provider perspectives on differentiated service delivery for HIV in Oyo state, Nigeria: exploring the experiences of service providers from a demand perspective BMC Health Services Research Differentiated service delivery HIV care Antiretroviral therapy ART adherence Patient retention Qualitative study |
| title | Health provider perspectives on differentiated service delivery for HIV in Oyo state, Nigeria: exploring the experiences of service providers from a demand perspective |
| title_full | Health provider perspectives on differentiated service delivery for HIV in Oyo state, Nigeria: exploring the experiences of service providers from a demand perspective |
| title_fullStr | Health provider perspectives on differentiated service delivery for HIV in Oyo state, Nigeria: exploring the experiences of service providers from a demand perspective |
| title_full_unstemmed | Health provider perspectives on differentiated service delivery for HIV in Oyo state, Nigeria: exploring the experiences of service providers from a demand perspective |
| title_short | Health provider perspectives on differentiated service delivery for HIV in Oyo state, Nigeria: exploring the experiences of service providers from a demand perspective |
| title_sort | health provider perspectives on differentiated service delivery for hiv in oyo state nigeria exploring the experiences of service providers from a demand perspective |
| topic | Differentiated service delivery HIV care Antiretroviral therapy ART adherence Patient retention Qualitative study |
| url | https://doi.org/10.1186/s12913-025-13283-7 |
| work_keys_str_mv | AT adelajamodupegift healthproviderperspectivesondifferentiatedservicedeliveryforhivinoyostatenigeriaexploringtheexperiencesofserviceprovidersfromademandperspective AT folahanmitomiwaakinsolu healthproviderperspectivesondifferentiatedservicedeliveryforhivinoyostatenigeriaexploringtheexperiencesofserviceprovidersfromademandperspective AT olunikerebeccaabodunrin healthproviderperspectivesondifferentiatedservicedeliveryforhivinoyostatenigeriaexploringtheexperiencesofserviceprovidersfromademandperspective AT akimtafadzwalukwa healthproviderperspectivesondifferentiatedservicedeliveryforhivinoyostatenigeriaexploringtheexperiencesofserviceprovidersfromademandperspective AT mobolajitimothyolagunju healthproviderperspectivesondifferentiatedservicedeliveryforhivinoyostatenigeriaexploringtheexperiencesofserviceprovidersfromademandperspective AT adekemiakinpelu healthproviderperspectivesondifferentiatedservicedeliveryforhivinoyostatenigeriaexploringtheexperiencesofserviceprovidersfromademandperspective AT ogunwalemercymary healthproviderperspectivesondifferentiatedservicedeliveryforhivinoyostatenigeriaexploringtheexperiencesofserviceprovidersfromademandperspective AT olaoluwabukolamary healthproviderperspectivesondifferentiatedservicedeliveryforhivinoyostatenigeriaexploringtheexperiencesofserviceprovidersfromademandperspective AT dolapoomotayoraji healthproviderperspectivesondifferentiatedservicedeliveryforhivinoyostatenigeriaexploringtheexperiencesofserviceprovidersfromademandperspective AT lilianogochukwuezechi healthproviderperspectivesondifferentiatedservicedeliveryforhivinoyostatenigeriaexploringtheexperiencesofserviceprovidersfromademandperspective AT aishaoluwaseungambari healthproviderperspectivesondifferentiatedservicedeliveryforhivinoyostatenigeriaexploringtheexperiencesofserviceprovidersfromademandperspective AT oliverchukwujekwuezechi healthproviderperspectivesondifferentiatedservicedeliveryforhivinoyostatenigeriaexploringtheexperiencesofserviceprovidersfromademandperspective |