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Implementation of South Africa's Central Chronic Medicine Dispensing and Distribution Program for HIV Treatment: A Qualitative Evaluation.
- Source :
- AIDS & Behavior; Aug2022, Vol. 26 Issue 8, p2600-2612, 13p
- Publication Year :
- 2022
-
Abstract
- We used the Practical, Robust Implementation and Sustainability Model to evaluate implementation of South Africa's Central Chronic Medicine Dispensing and Distribution (CCMDD) program, a differentiated service delivery program which allows clinically stable HIV-positive patients to receive antiretroviral therapy refills at clinic- or community-based pick-up points. Across ten clinics, we conducted 109 semi-structured interviews with stakeholders (pick-up point staff, CCMDD service providers and administrators) and 16 focus groups with 138 patients. Participants had highly favorable attitudes and said CCMDD decreased stigma concerns. Patient-level barriers included inadequate education about CCMDD and inability to get refills on designated dates. Organizational-level barriers included challenges with communication and transportation, errors in medication packaging and tracking, rigid CCMDD rules, and inadequate infrastructure. Recommendations included: (1) provide patient education and improve communication around refills (at the patient level); (2) provide dedicated space and staff, and ongoing training (at the organizational/clinic level); and (3) allow for prescription renewal at pick-up points and less frequent refills, and provide feedback to clinics (at the CCMDD program level). [ABSTRACT FROM AUTHOR]
- Subjects :
- DRUG delivery systems
HIV-positive persons
FOCUS groups
HEALTH services accessibility
RESEARCH methodology
STAKEHOLDER analysis
MEDICAL care
ANTIRETROVIRAL agents
INTERVIEWING
CONSUMER attitudes
HUMAN services programs
QUALITATIVE research
HIGHLY active antiretroviral therapy
DRUGS
PATIENT education
DATA analysis software
HIV
AIDS
Subjects
Details
- Language :
- English
- ISSN :
- 10907165
- Volume :
- 26
- Issue :
- 8
- Database :
- Complementary Index
- Journal :
- AIDS & Behavior
- Publication Type :
- Academic Journal
- Accession number :
- 157789297
- Full Text :
- https://doi.org/10.1007/s10461-022-03602-y