Effect of multi-month antiretroviral dispensing on HIV clinic attendance at 68 Nigerian Army Reference Hospital, Yaba, Nigeria
Dados Bibliográficos
| ID | 15456309 |
|---|---|
| Autores | Nkechinyere Harrison (0000-0003-1911-4529, autor correspondente), 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) |
| Ano | 2023 |
| Volume | 22 |
| Fascículo | 1 |
| Páginas | 63-68 |
| Data de publicação | 2023-01-02 |
| Peer Reviewed | Sim |
| Open Access | Não |
| Tipo | ARTICLE |
| Periódico | African Journal of AIDS Research (JOURNAL) |
| Identificadores do periódico | ISSN: 1608-5906 • E-ISSN: 1727-9445 |
| Editora | Taylor & Francis (PUBLISHER • GB) |
| DOI | 10.2989/16085906.2023.2188232 |
| PMID | 37116113 |
| OpenAlex | W4367332789 |
| Idioma | EN |
| Citações recebidas | 3 |
| Referências citadas | 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
A Systematic Review of Individual and Contextual Factors Affecting ART Initiation, Adherence, and Retention for HIV-Infected Pregnant and Postpartum Women
Improving adherence to antiretroviral treatment in Uganda with a low-resource facility-based intervention
Outcomes of community-based differentiated models of multi-month dispensing of antiretroviral medication among stable HIV-infected patients in Lesotho
Why do people living with HIV not initiate treatment? A systematic review of qualitative evidence from low- and middle-income countries
| Obras citantes distintas | 3 |
|---|---|
| Citações por ano | 1 |
| Intervalo de citações | 2023 - 2026 (4) |
| Velocidade de citação | current |
| Altamente citado | Não |
| Tipos de citação | Neutras: 3 |