Department of Clinical Pharmacy and Pharmacy Administration, Faculty of Pharmacy, Obafemi Awolowo University, Ile-Ife, Nigeria.
Department of Clinical Pharmacy and Pharmacy Administration, Faculty of Pharmacy, Lead City University, Ibadan, Nigeria.
BMC Prim Care. 2024 Aug 26;25(1):315. doi: 10.1186/s12875-024-02568-1.
BACKGROUND: Studies have shown that training interventions fail when proper strategies are not in place for their implementation. The study described the implementation strategies used in the delivery of the HIV test services (HTS) and measured implementation outcomes in the delivery of the services. METHODS: The study was conducted between August and November 2019 among 50 selected community pharmacies in Oyo State, Nigeria using a mixed-method quantitative and qualitative data survey design. The implementation strategies and activities used in the delivery of HTS in the pharmacies and during outreaches were described while both observational and survey methods were used to collect data. Implementation outcomes were measured and analysed in terms of penetration, adoption, acceptability, feasibility, fidelity, and appropriateness of the intervention. RESULTS: Penetration among respondents was 90%. Acceptability of the HTS was high (77.3%) among clients 20-49 years of age with 919 clients participating in the HIV screening. While 919 HIV tests were conducted, only 19 (2.1%) were positive. Adherence to the protocol of delivery of HTS (fidelity) indicated that all the respondents conducted rapid HIV testing, pre-testing counselling (43, 95.6%), post-testing counselling (40, 88.9%), and provision of confidential test results (39, 86.7%). Respondents' responsiveness indicated that 23 (51.1%%) of the respondents could use up to 80% and above of the test strips given within the period. Researchers' observations showed respondents' ability to perform the tests as intended with little challenges. Participants felt that rendering the services was an interesting experience, and fulfilling, and allowed them to improve on their professional deliverables and practice. It also showcased the relevance of pharmacists in rendering HTS, creating awareness of the menace of HIV/AIDS, and helping people to stop the spread. CONCLUSION: The study showed that HTS is acceptable, appropriate, feasible, and easy to adopt in community pharmacies and penetration was high. For sustainability, community pharmacists should be well remunerated, and need for an established policy to include this scope in community pharmacy practice.
背景：研究表明，当没有适当的策略来实施培训干预时，培训干预就会失败。本研究描述了在提供艾滋病毒检测服务（HTS）中使用的实施策略，并测量了服务提供中的实施结果。
方法：本研究于 2019 年 8 月至 11 月在尼日利亚奥约州的 50 家选定的社区药店进行，采用混合方法的定量和定性数据调查设计。描述了在药店和外展活动中提供 HTS 时使用的实施策略和活动，同时使用观察和调查方法收集数据。根据干预措施的渗透、采用、可接受性、可行性、保真度和适宜性来衡量实施结果。
结果：受访者的渗透率为 90%。20-49 岁的客户对 HTS 的接受度很高（77.3%），有 919 名客户参加了艾滋病毒筛查。虽然进行了 919 次艾滋病毒检测，但只有 19 例（2.1%）呈阳性。对 HTS 提供的协议的遵守（保真度）表明，所有受访者都进行了快速艾滋病毒检测、检测前咨询（43 人，95.6%）、检测后咨询（40 人，88.9%）和提供保密的检测结果（39 人，86.7%）。受访者的反应能力表明，23 名受访者（51.1%）可以使用在规定期限内提供的测试条的 80%及以上。研究人员的观察表明，受访者能够按照预期的方式进行测试，几乎没有遇到挑战。参与者认为提供这些服务是一种有趣的体验，令人满意，并使他们能够提高专业的交付能力和实践。它还展示了药剂师在提供 HTS 方面的相关性，提高了人们对艾滋病毒/艾滋病威胁的认识，并帮助人们阻止疾病的传播。
结论：研究表明，HTS 在社区药店中是可接受的、适当的、可行的和易于采用的，渗透率很高。为了可持续性，社区药剂师应该得到很好的报酬，并且需要建立一项政策，将这一范围纳入社区药店的实践中。
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