ORIGINAL: Outcome of Community-Based Antiretroviral Drug Refill among Stable Human Immunodeficiency Virus Patients Accessing Care at a Tertiary Center in Abuja, Nigeria: A 3-Year Review

West Afr J Med . 2023 Jan 30;40(1):67-71.

Abstract

Abstract  in English, French

Introduction: Community-based delivery of antiretroviral therapy (ART) is an innovative approach that delivers HIV treatment services closer to the people, removing logistical barriers to clinic access, thereby improving ART uptake and retention in care. The United States Emergency Plan for AIDS Relief (PEPFAR) program in Nigeria involved community-based private sector pharmacies to expand uptake of ART. We aimed at evaluating the effectiveness of this innovation by comparing the CD4 cell count, weight and viral load of stable HIV patients before and after they were devolved to community pharmacies.

Methodology: This study was a facility-based retrospective study that analysed the data of HIV patients accessing care at the University of Abuja Teaching Hospital (UATH) Gwagwalada, Abuja, who were devolved to community pharmacies from June 2018 to May 2021. We compared their mean CD4 cell count, weight and viral load before they were devolved and 1 year after devolvement.

Results: A total of 171 patients who met the eligibility criteria were devolved to community pharmacies during the study period. Majority (67.3%) of the patients were females. The age range was 24 years to 72 years with a median age of 42.8 years [inter-quartile range (IQR) 32, 62]. Their mean CD4 cell count (p=0.001) and weight (p=0.006) were higher after devolvement to community pharmacies compared to when they were at the clinic. They all maintained viral suppression after devolvement.

Conclusion: ART refill through community pharmacies is effective in maintaining viral suppression in stable HIV patients and may lead to increase in CD4 cell count and weight.

Keywords: Antiretroviral therapy; CD4 count; Community pharmacies; HIV; Viral suppression; Weight.

V G Kwaghe ¹, I Abubakar ², N Kumtong ³, L Rapnap ³, M Jamda ²