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Open Access

How Home Delivery of Antiretroviral Drugs Ensured Uninterrupted HIV Treatment During COVID-19: Experiences From Indonesia, Laos, Nepal, and Nigeria

Theresa Hoke, Moses Bateganya, Otoyo Toyo, Caroline Francis, Bhagawan Shrestha, Phayvieng Philakone, Satish Raj Pandey, Navindra Persaud, Michael M. Cassell, Rose Wilcher and Hally Mahler
Global Health: Science and Practice December 2021, 9(4):978-989; https://doi.org/10.9745/GHSP-D-21-00168
Theresa Hoke
aFHI 360, Durham, NC, USA.
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  • For correspondence: thoke@fhi360.org
Moses Bateganya
aFHI 360, Durham, NC, USA.
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Otoyo Toyo
bAchieving Health Nigeria Initiative, Akwa Ibom, Nigeria.
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Caroline Francis
cFHI 360, Jakarta, Indonesia.
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Bhagawan Shrestha
dFHI 360, Kathmandu, Nepal.
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Phayvieng Philakone
eFHI 360, Vientiane, Laos.
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Satish Raj Pandey
fFHI 360, Abuja, Nigeria.
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Navindra Persaud
gFHI 360, Washington, DC, USA.
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Michael M. Cassell
hFHI 360, Hanoi, Vietnam.
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Rose Wilcher
aFHI 360, Durham, NC, USA.
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Hally Mahler
gFHI 360, Washington, DC, USA.
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    Discreet packaging of antiretroviral drugs in Jakarta, Indonesia. © 2020 Ade Sonyville and Arifin Fitrianto/LINKAGES/FHI 360 Indonesia

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    Outreach worker on the way to delivering antiretroviral drugs to clients at their homes in Nepal. © 2020 NAMUNA/LINKAGES/FHI 360

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    A community pharmacist boards at the jetty with supplies for clients along remote creeks in Akwa Ibom State, Nigeria. © 2020 Otoyo Toyo/AHNI

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    TABLE.

    Summary of Antiretroviral Drug Home Delivery Interventions in 4 Countries

    NigeriaIndonesiaNepalLaos
    Implementation period reportedMay–Nov 2020Apr–Nov 2020Mar–Sep 2020May–Sep 2020
    Client groupsaGeneral population/rural populationKey populations, their partners and children, and other priority populationsFemale sex workers, MSM, transgender people, and migrants and their spousesMSM/transgender people and their partners who are living with HIV
    No. of facilities participating in home delivery21109193
    Recommended frequency of clinical consultation for established ART clientsEvery 6 monthsEvery 6 monthsEvery 6 monthsEvery 6 months
    Recommended frequency of viral load testing for established ART clientsEvery 6 monthsEvery 12 monthsEvery 12 monthsEvery 6 months (for first year) and every 12 months for year 2 onward
    Modification for viral load testing during the COVID-19 pandemicSample collection in the communityTransport of samples to private laboratoriesSample collection in the communityNo change: facility-based collection required
    Clients who received home delivery, n (% of eligible for home delivery)4,138 (51)4,948 (19)2,836 (21)126 (26)
    • Abbreviations: ART, antiretroviral therapy; MSM, men who have sex with men.

    • ↵a Terms reflect client groups' preferred descriptions.

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Global Health: Science and Practice: 9 (4)
Global Health: Science and Practice
Vol. 9, No. 4
December 31, 2021
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How Home Delivery of Antiretroviral Drugs Ensured Uninterrupted HIV Treatment During COVID-19: Experiences From Indonesia, Laos, Nepal, and Nigeria
Theresa Hoke, Moses Bateganya, Otoyo Toyo, Caroline Francis, Bhagawan Shrestha, Phayvieng Philakone, Satish Raj Pandey, Navindra Persaud, Michael M. Cassell, Rose Wilcher, Hally Mahler
Global Health: Science and Practice Dec 2021, 9 (4) 978-989; DOI: 10.9745/GHSP-D-21-00168

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How Home Delivery of Antiretroviral Drugs Ensured Uninterrupted HIV Treatment During COVID-19: Experiences From Indonesia, Laos, Nepal, and Nigeria
Theresa Hoke, Moses Bateganya, Otoyo Toyo, Caroline Francis, Bhagawan Shrestha, Phayvieng Philakone, Satish Raj Pandey, Navindra Persaud, Michael M. Cassell, Rose Wilcher, Hally Mahler
Global Health: Science and Practice Dec 2021, 9 (4) 978-989; DOI: 10.9745/GHSP-D-21-00168
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    • ABSTRACT
    • INTRODUCTION
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    • LESSONS LEARNED ON ACCELERATING INTRODUCTION AND EXPANSION OF HOME DELIVERY OF ARVS
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