Journal of Epidemiology and Public Health
- ISSN: 3065-9078
Jafari Ibrahim Shabani, Mackfallen G Anasel and John Kashindye
Background: Adherence to antiretroviral therapy is essential for effective HIV management, but frequent clinic visits can be challenging, particularly for youth living with HIV. The multi-month dispensing model aims to reduce clinic visits and improve adherence by providing several months’ worth of medication at a time. This study explores the effects of the multimonth dispensing model on ART adherence among youth living with HIV in Dodoma City Council, Tanzania, to assess its effectiveness and identify any associated benefits and challenges.
Methods: A case study approach was used, focusing on youth living with HIV aged 18 to 45 years accessing anti-retroviraltherapy through multi-months services. A total of 15 participants were selected via convenience sampling, with healthcare providers chosen through purposive sampling. Data were collected through structured interview, transcribed, and analyzed thematically using ATLAS.ti software.
Results: The multi-month dispensing model led to several positive outcomes: reduced waiting times at clinics, decreased frequency of visits, and lower costs associated with travel and missed work. Participants also reported reduced stigma and increased confidentiality due to fewer clinic visits. However, concerns about the visibility and handling of larger quantities of medication were noted. The model improved adherence and enhanced quality of life for youth living with HIV by minimizing logistical and financial burdens.
Conclusion: The multi-month dispensing model effectively improves ART adherence among youth living with HIV by reducing the frequency of clinic visits, alleviating cost and logistical challenges, and decreasing stigma. The findings suggest that this model could be beneficial in similar settings, offering a practical solution for enhancing ART adherence and health outcomes for youth living with HIV.