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

Olusola Sanwo, Navindra E. Persaud, Pius Nwaokoro, Augustine Idemudia, Uduak Akpan, Otoyo Toyo, Philip Imohi, Titilope Badru, Chika Obiora‐Okafo, Chimamaka Excellence Uzochukwu, Oluwapelumi Aliu, Kolawole Olatunbosun (+7 others)
2021 Journal of the International AIDS Society  
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
more » ... ps 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.
doi:10.1002/jia2.25820 pmid:34713591 fatcat:6xvclj5mqrglbhsv7l5b7djj4a