Differentiated service delivery models among PLHIV in Akwa Ibom and Cross River States, Nigeria during the COVID‐19 pandemic: descriptive analysis of programmatic data

Introduction The rapid increase in the number of people living with HIV (PLHIV) on antiretroviral therapy (ART) in Akwa Ibom and Cross River states in Nigeria led to overcrowding at clinics. Patients were devolved to receive ART refills through five differentiated service delivery (DSD) models: fast...

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Bibliographic Details
Published in:Journal of the International AIDS Society 2021-10, Vol.24 (S6), p.e25820-n/a
Main Authors: Sanwo, Olusola, Persaud, Navindra E., Nwaokoro, Pius, Idemudia, Augustine, Akpan, Uduak, Toyo, Otoyo, Imohi, Philip, Badru, Titilope, Obiora‐Okafo, Chika, Uzochukwu, Chimamaka Excellence, Aliu, Oluwapelumi, Olatunbosun, Kolawole, Pandey, Satish Raj, Khamofu, Hadiza, Chiegil, Robert, James, Ezekiel, Iyortim, Isa, Oqua, Dorothy, Bateganya, Moses
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
AIDS
AIDS/HIV
Antiretroviral agents
Children
Clinical outcomes
Coronaviruses
COVID-19
differentiated service delivery
Drug stores
Drug therapy
Health facilities
HIV
Human immunodeficiency virus
Nigeria
Overcrowding
Pandemics
Patients
people living with HIV
Pharmacy
Retention
Rivers
Sexually transmitted diseases
STD
Supplement
Supplement: s
Teenagers
treatment retention
viral suppression
Working hours
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Summary:Introduction The rapid increase in the number of people living with HIV (PLHIV) on antiretroviral therapy (ART) in Akwa Ibom and Cross River states in Nigeria led to overcrowding at clinics. Patients were devolved to receive ART refills through five differentiated service delivery (DSD) models: fast‐track (FT), adolescent refill clubs (ARCs), community pharmacy ART refill programs (CPARPs), community ART refill clubs (CARCs) and community ART refill groups (CARGs) designed to meet the needs of different groups of PLHIV. In the context of COVID‐19‐related travel restrictions, out‐of‐facility models offered critical mechanisms for continuity of treatment. We compared retention and viral suppression among those devolved to DSD with those who continued standard care at facilities. Methods A retrospective cohort study was conducted among patients devolved to DSD from January 2018 to December 2020. Bivariate analyses were conducted to assess differences in retention and viral suppression by socio‐demographic characteristics. Kaplan–Meier assessed retention at 3, 6, 9 and 12 months. Differences in proportions were compared using the chi‐square test; a p‐value of
ISSN:1758-2652
1758-2652
DOI:10.1002/jia2.25820