Successful continuation of antiretroviral therapy delivery during COVID 19 – best practices from the South East Asia Region


The COVID-19 pandemic was predicted to and has had a serious affect on the important HIV well being companies within the South East Asia Area (SEAR), placing in danger the advantages accrued during the last twenty years. Aside from the dangers posed by the virus to the
particular person well being of individuals residing with HIV (PLHIV), COVID-19 has disrupted important companies inflicting appreciable delays within the supply of medicines and different well being commodities. Altering priorities for HIV clinic and health-care employees, journey
restrictions, non-availability of public and restricted non-public transportation and worsening socio-economic contexts affected continuity of important HIV companies.


To assist mitigate these results, on the onset of the pandemic, WHO issued guidance on WHO issued guidance on maintaining essential health services sustaining important well being companies together with particular measures comparable to multi-month meting out (MMD) of antiretroviral (ARV) medicine to those that are clinically steady on present therapy and take-home doses of opiate substitution remedy (OST)
medicine for individuals who inject medicine.


Based mostly on this steerage, international locations within the SEAR had been fast to work with communities to place in place measures to permit for continuation of important HIV companies.  Outcomes embrace:

Nationwide programmes in 8 out of 10 international locations within the area have issued pointers for MMD of ARV medicine and take-away doses of OST medicine, beefing up their ARV shares and provide chains

  • Antiretroviral remedy (ART) distribution has been efficiently decentralized from ART facilities to main well being care and neighborhood amenities
  • Coaching is being offered to the ART groups on Covid-19 associated points. Hand sanitizers are additionally offered for scientific employees
  • WhatsApp and google hangout conferences are being carried out with programme managers and neighborhood leaders to help State groups in addressing coordination points and to facilitate cross studying. Actual time details about shoppers, therapy requirement,
    good practices and dealing with of emergency conditions are additionally shared by these teams.
  • Residence supply of ARV medicines (for sufferers unable to succeed in amenities) is being achieved by neighborhood outreach employees, many a time utilizing their very own motor bikes, by foot or by donated ambulances.
  •  The police have been mobilized and sensitized to permit peer employees to ship ARV medicine. 
  • ‘Offering Dietary Assist for Folks Residing with HIV/AIDS (PLHIV) in Nanded District’:  Pleasure India, an area NGO, which operates the CSC in Nanded district of Maharashtra is working with Community of Maharashtra by Folks
    Residing with HIV/AIDS (NMP+) to offer diet help to 385 members who had been in want of diet help for 3 months after the announcement of lockdown. 

Credit score: courtesy Alliance India


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