ArticleAIDS and behavior2022
Implementation of South Africa's Central Chronic Medicine Dispensing and Distribution Program for HIV Treatment: A Qualitative Evaluation.
Article in AIDS and behavior, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.
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Who cites it
32 citing papers in PubMed.
- Longitudinal Trajectories of Engagement With HIV Treatment Support Strategies Among Female Sex Workers Living With HIV in South Africa.Journal of acquired immune deficiency syndromes (1999) · 2025Trial
- Indirect Effects of HIV Differentiated Service Delivery Programmes on Quality of Clinic Care: A Retrospective Cohort Study of Clients Starting Antiretroviral Therapy.Journal of acquired immune deficiency syndromes (1999) · 2026Article
- Point-of-care HIV viral load testing in a community antiretroviral therapy delivery programme: A randomised controlled trial (PHILA).PLOS global public health · 2026Article
- Primary healthcare providers' perspectives on six-month dispensing of antiretroviral therapy (ART) in South Africa: cross-sectional survey of views and preferences.Global health action · 2025Article
- Differentiated antiretroviral distribution: Implementation in five South African districts.African journal of primary health care & family medicine · 2025Article
- Aligning HIV treatment and hypertension clinic visits and dispensing as a first step towards service delivery integration in South Africa.Journal of the International AIDS Society · 2025Article
- Experiences of nurses in patient adherence to antiretoroviral therapy in Mpumalanga, South Africa.African journal of primary health care & family medicine · 2025Article
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- Experiences of nurses and patients with the implementation of the CCMDD programme.African journal of primary health care & family medicine · 2025Article
- Preferences for Hypertension Care in Malawi: A Discrete Choice Experiment Among People Living with Hypertension, With and Without HIV.AIDS and behavior · 2025Article
- Preferences for Delivery of HIV Prevention Services Among Healthcare Users in South Africa: A Discrete Choice Experiment.AIDS and behavior · 2025Article
- Health System Factors Influencing the Integration of Pre-Exposure Prophylaxis into Antenatal and Postnatal Clinic Services in Cape Town, South Africa.Global health, science and practice · 2024Article
- Differentiated Service Delivery Model in Improving HIV Treatment Outcomes Among Female Sex Workers in Gauteng Province of South Africa: A Protocol Paper.Methods and protocols · 2024Article
- Contextual Factors Influencing Implementation of HIV Treatment Support Strategies for Female Sex Workers Living With HIV in South Africa: A Qualitative Analysis Using the Consolidated Framework for Implementation Research.Journal of acquired immune deficiency syndromes (1999) · 2024Article
- Monitoring patients on ART within the CCMDD programme and those attending an urban healthcare facility in KwaZulu-Natal.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2024Article
- Does type of antiretroviral therapy pick-up point influence 12-month virologic suppression in South Africa?AIDS care · 2024Observational
- Primary healthcare nurses' experiences in managing chronic diseases during COVID-19 in the North West province.African journal of primary health care & family medicine · 2024Article
- 'Not taking medications and taking medication, it was the same thing:' perspectives of antiretroviral therapy among people hospitalised with advanced HIV disease.BMC infectious diseases · 2024Article
- Determinants of sub-optimal glycemic control among patients enrolled in a medicine dispensing programme in KwaZulu-Natal: A cohort study, 2018-2021.African journal of primary health care & family medicine · 2024Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
We used the Practical, Robust Implementation and Sustainability Model to evaluate implementation of South Africa's Central Chronic Medicine Dispensing and Distribution (CCMDD) program, a differentiated service delivery program which allows clinically stable HIV-positive patients to receive antiretroviral therapy refills at clinic- or community-based pick-up points. Across ten clinics, we conducted 109 semi-structured interviews with stakeholders (pick-up point staff, CCMDD service providers and administrators) and 16 focus groups with 138 patients. Participants had highly favorable attitudes and said CCMDD decreased stigma concerns. Patient-level barriers included inadequate education about CCMDD and inability to get refills on designated dates. Organizational-level barriers included challenges with communication and transportation, errors in medication packaging and tracking, rigid CCMDD rules, and inadequate infrastructure. Recommendations included: (1) provide patient education and improve communication around refills (at the patient level); (2) provide dedicated space and staff, and ongoing training (at the organizational/clinic level); and (3) allow for prescription renewal at pick-up points and less frequent refills, and provide feedback to clinics (at the CCMDD program level).
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