Effect of multi-month antiretroviral dispensing on HIV clinic attendance at 68 Nigerian Army Reference Hospital, Yaba, Nigeria
Bibliographic Data
| ID | 15456309 |
|---|---|
| Authors | Nkechinyere Harrison (0000-0003-1911-4529, corresponding author), Ismail Lawal (0009-0003-6168-1890, African Field Epidemiology Network), Kehinde Aribisala (0000-0002-3609-1560), Kenneth Oruka (0009-0000-1927-0842), Yakubu Adamu (0000-0003-4491-4798, African Field Epidemiology Network), Patricia Agaba (0000-0002-8847-3085, Walter Reed Army Institute of Research), Elizabeth Lee (0000-0001-5404-1447), Elizabeth H Lee (0000-0003-2094-6445, Walter Reed Army Institute of Research), Laura Chittenden (0009-0005-3971-999X, African Field Epidemiology Network), Nathan Okeji (0000-0001-6430-225X) |
| Year | 2023 |
| Volume | 22 |
| Issue | 1 |
| Pages | 63-68 |
| Publication date | 2023-01-02 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | African Journal of AIDS Research (JOURNAL) |
| Journal identifiers | ISSN: 1608-5906 • E-ISSN: 1727-9445 |
| Publisher | Taylor & Francis (PUBLISHER • GB) |
| DOI | 10.2989/16085906.2023.2188232 |
| PMID | 37116113 |
| OpenAlex | W4367332789 |
| Language | EN |
| Citations received | 3 |
| References cited | 19 |
Background: Multi-month dispensing (MMD) of antiretroviral therapy has demonstrated benefits for HIV patients and health service delivery systems, including reduced frequency of hospital visits and improved retention. We evaluated the effect of 6-monthly dispensing (MMD6) on patient clinic attendance at a single military facility in the one-year pre- and post-policy change. Methods : This was a descriptive, retrospective, cross-sectional study, exploring the relationship between MMD6 and clinic attendance numbers. We reviewed aggregate clinic attendance records for clients on ART and documented monthly trends in clinic attendance numbers, number of clients current on ART, and amount of ART dispensed. Results : In the pre-MMD6 group, 4 150 patients were included, and 4 190 in the post-MMD6 group. Clinic attendance was 30 407 visits (16 111 pre-MMD6 and 14 296 post-MMD6). An overall mean increase of 326.58 ± 861.81 (95% CI = -874.15 ± 220.98) drugs were dispensed per month; t (11) = -1.31, p = 0.22; mean monthly clinic attendance declined from 1342.8 ± 220.10 visits pre-MMD6 to 1191.33 ± 309.10 post-MMD6 with t (11) = 1.601, p = 0.14, but was not statistically significant. Conclusion : Six-monthly dispensing can be an important tool to reduce HIV clinic volumes and improve antiretroviral access. It is particularly important for care continuity in military facilities where service members may be deployed or transferred to other bases along with their dependents
Antiretroviral therapy · Attendance · Cross-sectional study · Family medicine · Human immunodeficiency virus (HIV · Viral load · Adolescent Sexual and Reproductive Health · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Pediatrics
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| Unique citing works | 3 |
|---|---|
| Citations per year | 1 |
| Citation span | 2023 - 2026 (4) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 3 |