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Successful continuation of antiretroviral therapy during COVID 19 – best practices from the region of Southeast Asia
The COVID-19 pandemic was predicted to have a major impact on key health services in the Southeast Asian Region (SEAR), jeopardizing the benefits gained in the last two decades. In addition to the risk posed by the virus to the health of individuals living with HIV (PLHIV), COVID-19 disrupted basic services causing significant delays in the delivery of drugs and other health products. Changing priorities for HIV clinical and health workers, travel restrictions, the unavailability of public and limited private transportation, and the deteriorating socio-economic context have affected the continuity of basic HIV services.
To mitigate these effects, at the beginning of a pandemic, The WHO has issued guidelines on The WHO has issued guidelines for the maintenance of basic health services maintenance of basic health services, including specific measures such as multi-month dispensing (MMD) of antiretroviral (ARV) drugs to those who are clinically stable on current treatment and taking doses of opiate replacement therapy (OST) drugs for people who inject drugs.
Based on these guidelines, SEAR countries have worked rapidly with communities to establish measures to enable the continuation of basic HIV services. Results include:
National programs in 8 of the 10 countries in the region have issued guidelines for MMD ARV drugs and doses of OST drugs, tightening their ARV stocks and supply chains.
- The distribution of antiretroviral therapy (ART) has been successfully decentralized from ART centers to primary care and community facilities
- ART teams are held on issues related to Covid-19. Hand sanitizers are also provided for clinical staff
- WhatsApp and google hangout meetings are conducted with program leaders and community leaders to support national teams in solving coordination problems and facilitate mutual learning. Real-time client information, treatment requests, good practice, and emergency response are also shared through these groups.
- Home delivery of ARV drugs (for patients unable to come to facilities) is done by community field workers, often using their own motorbikes, on foot, or by donated ambulances.
- Police were mobilized and sensitized to enable peer workers to deliver ARV drugs.
- ‘Providing nutritional support to people living with HIV / AIDS (PLHIV) in Nanded County’: Pride India, a local NGO that manages the Nanded County CSC in Maharashtra, is working with the Maharashtra Network of People Living with HIV / AIDS (NMP +) to provide nutrition support to 385 members who needed three months food support. lock announcement.
Credit: courtesy of Alliance India
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