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The stories that follow provide a glimpse into how ICAP went the distance to support public health in communities worldwide. Through strategic partnerships and innovative projects, ICAP works alongside a diverse range of stakeholders to strengthen health systems and improve health outcomes in communities, countries, and regions around the world.
As governments worldwide responded to COVID by mandating quarantines, health facility and school closures, and more, maintaining lifesaving HIV services became more critical — and challenging — than ever, particularly for young people living with HIV. Globally, 54 percent of children living with HIV have access to treatment. In Burundi and Nigeria, only 31 and 45 percent of children living with HIV, respectively, were receiving treatment in One part of the puzzle was solved by multi-month dispensing.
This innovative approach works to provide patients with three to six months of medication at a time. While multi-month dispensing for adults living with HIV quickly became standard practice during the pandemic, many providers were reluctant or unable to fully adopt the approach for younger patients. Numerous factors contributed to this reluctance including nationally mandated age restrictions for multi-month dispensing, shortages of pediatric antiretroviral drug formulations, and provider perceptions that multi-month dispensing was not practical for growing children who required regular dosage adjustments.
Widespread adoption of multi-month dispensing, including for younger patients, helped reduce monthly medication refill visits, ultimately minimizing congestion and potential exposure to the coronavirus at health facilities.