Service Type is a proxy for how involved PEPFAR resources are in the actual delivery of health care services. DSD stands for "Direct Service Delivery". TA stands for "Technical Assistance".
From PEPFAR's definitions, all results at a facility will be counted as DSD if PEPFAR supports BOTH key staff and/or commodities; AND support to improve the quality of services "as often as deemed necessary by the partner and country team". Results will be counted as technical assistance if a facility only receives support to improve the quality of services.
These provisions are defined as:
- Key Staff/Commodities: PEPFAR is directly interacting with the patient or beneficiary in response to their health (physical, psychological, etc.) care needs by providing key staff and/or essential commodities for routine service delivery. Staff who are responsible for the completeness and quality of routine patient records (paper or electronic) can be counted here; however, staff who exclusively fulfill MOH and donor reporting requirements cannot be counted. Each indicator reference sheet includes a list of key staff and/or essential commodities that meet this condition.
- Quality Support: PEPFAR provides an established presence at and/or routinized support for those services at the point of service delivery. Each indicator reference sheet includes a list of activities that count toward support for service delivery improvement.
