Department of Clinical Pharmacy and Pharmacy Administration, Faculty of Pharmacy, 54715Obafemi Awolowo University, Ile-Ife, Osun, Nigeria.
Pharmacists Council of Nigeria, South West Zonal Office, Ibadan, Oyo, Nigeria.
Int J STD AIDS. 2021 May;32(6):538-550. doi: 10.1177/0956462420981527. Epub 2021 Feb 3.
The World Health Organization is promoting community-based services to end HIV/AIDS by 2030. In Nigeria, studies on community pharmacists' involvement in HIV testing services (HTS) and antiretroviral (ARV) medication therapy management (MTM) are scarce, and no study had evaluated the clients' opinion on community pharmacy HTS. We assessed the community pharmacists' involvement in HIV/AIDS services and clients' opinions of community pharmacy HTS. Semi-structured questionnaires on a five-point Likert scale were administered to 701 selected community pharmacists and 5840 clients in southwest Nigeria in 2019. Data were analyzed with descriptive and inferential statistics. Response rates were 68.6% and 69.8% for community pharmacists and clients, respectively. Only 18.5% of community pharmacists offered rapid HTS and 30% refills of ARV. The total score of their involvement on the HTS was 20.94 ± 17.521 (range 8-40; midpoint 24) and on ARV/MTM was 22.98 ± 19.61 (range 9-45; midpoint 27), while 91% were willing to participate in training. Barriers to integrating services into practice were lack of clinical tools (46.8%), lack of collaboration with other healthcare professionals (39.1%), and lack of training on HIV/AIDS services (36.2%) among others. Also, 77% of the clients were willing to participate in community pharmacy HTS, and about 83% of them responded that knowing their HIV status will help them to take necessary precautionary actions. Community pharmacists' involvement in HIV/AIDS services was low. However, they showed willingness to participate in training to improve services. Also, clients were willing to receive community pharmacies HTS to know their status.
世界卫生组织正在推动以社区为基础的服务,以在 2030 年前终结艾滋病。在尼日利亚,关于社区药剂师参与艾滋病毒检测服务(HTS)和抗逆转录病毒(ARV)药物治疗管理(MTM)的研究很少,也没有研究评估过社区药房 HTS 对客户的意见。我们评估了社区药剂师在艾滋病毒/艾滋病服务中的参与情况以及客户对社区药房 HTS 的意见。2019 年,在尼日利亚西南部,我们对 701 名选定的社区药剂师和 5840 名客户进行了基于五点李克特量表的半结构式问卷调查。使用描述性和推断性统计方法对数据进行了分析。社区药剂师和客户的回复率分别为 68.6%和 69.8%。只有 18.5%的社区药剂师提供快速 HTS,30%提供 ARV 续药。他们在 HTS 上的总参与分数为 20.94±17.521(范围 8-40;中点 24),在 ARV/MTM 上的总参与分数为 22.98±19.61(范围 9-45;中点 27),而 91%的人愿意参加培训。将服务纳入实践的障碍包括缺乏临床工具(46.8%)、缺乏与其他医疗保健专业人员的合作(39.1%)、缺乏艾滋病毒/艾滋病服务培训(36.2%)等。此外,77%的客户愿意参加社区药房 HTS,约 83%的客户表示,了解自己的艾滋病毒状况将有助于他们采取必要的预防措施。社区药剂师参与艾滋病毒/艾滋病服务的程度较低。然而,他们表示愿意参加培训以改善服务。此外,客户愿意接受社区药房 HTS 以了解自己的状况。
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