Differentiated service delivery: a qualitative study of people living with HIV and accessing care in a tertiary facility in Ghana

Abstract

Although existing evidence suggests that facility-based care was relatively more expensive and time consuming, PLHIV preferred facility-based individualized differentiated model to a community-based model. The fear of stigma and discrimination was very strong and is the main barrier to community-based model among PLHIV in this study and this needs to be explored further and managed.