Many hospitals in Nigeria are now offering medications that will last three months for people living with HIV.
Mr. Ikenna Nwakanma, First Co-Chairman of the Coalition of Civil Society Networks on HIV and AIDS in Nigeria, told the Nigerian News Agency (NAN) in Abuja that the Covid-19 challenge and concerns about the supply chain informed the decision.
“With COVID19, most hospitals have been compelled to do multi-month drug delivery, as we have advocated for a long time, and it has worked well,” he said.
Nwakanma clarified that the practice would go a long way towards mitigating the burden put on frontline health workers who were expected to see patients who had no complaints.
The co-chairman said that the practice had reduced the rate at which patients spent money not just on drugs, but on transportation to and from hospitals.
He commended hospitals for adopting the new effective and frugal approach.
“This learning from the COVID19 experience should be well utilised in shaping our HIV treatment plan, going forward.
“There is the need to now start thinking about how to make treatment flexible and to provide comprehensive care outside the hospital.
“COVID-19 brought some important learning relevant in our fight against HIV and healthcare generally. For some time, we had advocated for differentiated care model in HIV management that is patient-centered,’’ he said.
Nwakanma explained that different HIV patients with different needs were attended to based on their conditions and needs with the client as a partner in the treatment program.
“For Instance, a stable person living with HIV who has a low viral load and is experienced enough to manage his or her HIV treatment does not need to go to the hospital every month.
He said it was unfortunate that some hospitals were not abiding by the multi-month dispensing exercise and made patients keep attending hospitals to collect drugs monthly with the argument that it was for their good.
He lamented that the hospitals always collected money from such patients by disregarding what should be the best practice.
Nwakanma, however, urged affected hospitals to try and queue into the process as this would prevent people from running out of medication, reduce the need for constant visits to hospitals and prevent their exposure to sick people.