In the last decade, the number of people receiving ART worldwide has more than doubled. This rapid scale up of ART has been accompanied with the adoption of differentiated care models (DCM) which recognizes the need to adopt a client-centered approach while reducing avoidable burdens on the health systems. Studies related to DCM focus primarily on stable clients. There is limited data on effective models for clients identified as unstable or with advanced HIV disease despite that nearly 20% of people on treatment who had a viral load test were not virally suppressed. Inadequate viral suppression has been associated with an increased risk of treatment failure, morbidity, drug resistance, and HIV transmission. This situation poses threats to reaching the UNAIDS 95-95-95 targets. The purpose of this satellite session is to present differentiated service models for viremic clients across different settings, and to discuss lessons learned and future implications.

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