Integrating community pharmacy into community based anti-retroviral therapy program: A pilot implementation in Abuja, Nigeria
Integrating community pharmacy into community based anti-retroviral therapy program: A pilot implementation in Abuja, Nigeria
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DOI：
10.1371/journal.pone.0190286
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发表时间：
2018-01-10
期刊：
影响因子：
3.7
通讯作者：
Dakum, Patrick
中科院分区：
文献类型：
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作者：
Avong, Yohanna Kambai;Aliyu, Gambo Gumel;Dakum, Patrick
背景人类免疫缺陷病毒(HIV)疫情控制的格局正在发生变化，联合国艾滋病毒/艾滋病规划署(联合国艾滋病规划署)制定了90-90-90疫情控制基准。社区抗逆转录病毒治疗(CART)模式改善了治疗吸收，并显示了良好的临床结果。我们评估了整合社区药房作为尼日利亚阿布贾差异化社区ART任务转移结构的可行性。方法来自公共卫生机构的稳定的一线ART方案的患者被转介到联邦首都地区、阿布贾不同地点的社区药房，以补充处方和维持治疗。收集2016年2月25日至2017年5月31日的生物人口学和临床资料，进行描述性统计分析。测量的结果是处方补给和患者在社区药房的护理留存。结果在接受治疗的稳定患者中，近10%的患者成功地从8家卫生机构转移到10家社区药店。参与者的平均年龄为35岁[四分位数范围(IQR)；30，41]，其中已婚女性占多数。处方补充率为100%，几乎所有参与者(99.3%)在被移交给社区药房后都被保留在护理中。只有一名参与者因死亡而失去了随访。结论社区药房模式与良好的处方补充量和高度的护理保留率以及非常低的随访损失有关。在尼日利亚，利用社区药房开展社区艺术是可行的。我们建议在尼日利亚所有36个州扩大该模式的规模。
BackgroundThe landscape of Human Immunodeficiency Virus (HIV) epidemic control is shifting with the United Nations Programme on HIV/ AIDS (UNAIDS) 90-90-90 benchmarks for epidemic control. Community-based Antiretroviral Therapy (CART) models have improved treatment uptake and demonstrated good clinical outcomes. We assessed the feasibility of integrating community pharmacy as a task shift structure for differentiated community ART in AbujaNigeria.MethodsStable patients on first line ART regimens from public health facilities were referred to community pharmacies in different locations within the Federal Capital Territory, Abuja for prescription refills and treatment maintenance. Bio-demographic and clinical data were collected from February 25, 2016 to May 31 st, 2017 and descriptive statistics analysis applied. The outcomes of measure were prescription refill and patient retention in care at the community pharmacy.ResultsAlmost 10% of stable patients on treatment were successfully devolved from eight health facilities to ten community pharmacies. Median age of the participants was 35 years [ interquartile range (IQR); 30, 41] with married women in the majority. Prescription refill was 100% and almost all the participants (99.3%) were retained in care after they were devolved to the community pharmacies. Only one participant was lost-to-follow-up as a result of death.ConclusionExcellent prescription refill and high retention in care with very low loss-to-follow-up were associated with the community pharmacy model. The use of community pharmacy for community ART is feasible in Nigeria. We recommend the scale up of the model in all the 36 states of Nigeria.