Community Health Worker-led ART Delivery Improved Scheduled Antiretroviral Drug Refill Among Men Who Have Sex with Men in Lagos State, Nigeria

Overview

Journal Int Health

Publisher Oxford University Press

Specialty Health Services

Date 2020 Jun 2

PMID 32478384

Citations 2

Authors

Olujuwon Ibiloye

Patrick Akande

Jwanle Plang

Franklin Emerenini

Temiwoluwa Omole

Olusola Osindero

Tom Decroo

Affiliations

Soon will be listed here.

Abstract

Background: Stigma affects access and treatment outcomes in men who have sex with men. We assessed the effect of novel community health worker-led antiretroviral therapy delivery (CLAD).

Methods: A retrospective cohort study of routinely collected data was conducted. We used the t-test to compare the mean adherence to scheduled drug refill appointments before and after implementing CLAD.

Results: The mean adherence to drug refill was 1.4 (±0.7 SD) of monthly scheduled refills before CLAD and 4.7 (±1.2 SD) of monthly refills in CLAD (P < 0.001).

Conclusion: The CLAD model was more effective for drug refill appointments than a regular HIV clinic.

Citing Articles

Realist evaluation of a community-based antiretroviral therapy (CBART) programme for key populations in Benue State in Nigeria.

Ibiloye O, Decroo T, Masquillier C, Okonkwo P, Lynen L, Jwanle P BMC Infect Dis. 2024; 24(1):892.

PMID: 39217280 PMC: 11366157. DOI: 10.1186/s12879-024-09808-w.

Acceptability and retention of the key population-led HIV treatment service for men who have sex with men and transgender women living with HIV in Thailand.

Lujintanon S, Amatavete S, Leenasirimakul P, Meechure J, Noopetch P, Sangtong S J Int AIDS Soc. 2023; 26(2):e26062.

PMID: 36757793 PMC: 9910427. DOI: 10.1002/jia2.26062.

References

Decroo T, Rasschaert F, Telfer B, Remartinez D, Laga M, Ford N . Community-based antiretroviral therapy programs can overcome barriers to retention of patients and decongest health services in sub-Saharan Africa: a systematic review. Int Health. 2013; 5(3):169-79. DOI: 10.1093/inthealth/iht016. View

Crowell T, Keshinro B, Baral S, Schwartz S, Stahlman S, Nowak R . Stigma, access to healthcare, and HIV risks among men who sell sex to men in Nigeria. J Int AIDS Soc. 2017; 20(1):21489. PMC: 5515015. DOI: 10.7448/IAS.20.01.21489. View

Ibiloye O, Decroo T, Eyona N, Eze P, Agada P . Characteristics and early clinical outcomes of key populations attending comprehensive community-based HIV care: Experiences from Nasarawa State, Nigeria. PLoS One. 2018; 13(12):e0209477. PMC: 6301656. DOI: 10.1371/journal.pone.0209477. View