Page 129 - HIVMED_v21_i1.indb
P. 129
Page 2 of 2 Editorial
In a pilot study conducted on 40 Egyptian patients attending statistical analysis. H.W. and R.M. prepared the final
one of the clinics affiliated to Kasr Al-Aini HIV and Viral version. All authors revised and approved the final version
1
Hepatitis Fighting Group , the six-item Morisky Medication of the article.
Adherence Scale was administered twice using a standard
8
telephone script, first in mid-March and then in mid-August. Ethical consideration
The number of PLHIV with high motivation and high
knowledge was significantly higher in mid-August (36 vs. 27 This article followed all ethical standards for research
and 36 vs. 28, respectively, p < 0.001). Multi-month dispensing without direct contact with human or animal subjects.
because of COVID-19 pandemic was the most commonly
reported factor (90%) amongst those with high motivation. Funding information
It would be fair to conclude that it is necessary to move towards This research received no specific grant from any funding
MMD for medically stable patients on ART, whilst managing agency in the public, commercial or not-for-profit sectors.
the stock and supply line, in order to save healthcare service
costs and improve patients’ adherence and retention in care. Data availability statement
Data analysed in this study are available if needed for
Multi-month dispensing can be provided through revision without disclosing the confidential details of our
community-based models of care that require the engagement patients.
of community health workers, common in rural parts of
Egypt, who provide peer support to patients and help
improve their adherence, retention and viral suppression. Disclaimer
The views and opinions expressed in this article are those of
Besides, the COVID-19 pandemic has accelerated the the authors and do not necessarily reflect the official policy or
implementation of telemedicine in many countries, but not position of any affiliated agency of the authors.
so much in Egypt. The use of telemedicine services for HIV
9
prevention and management represents an innovative and a
possibly more effective way of providing HIV services and References
for implementation of MMD in Egypt. 1. Cordie A, El-Kotamy M, Esmat G. Antiretroviral therapy optimisation in the time of
COVID-19: Is it really different in North and South Africa? S Afr J HIV Med.
2020;21(1):a1118. https://doi.org/10.4102/sajhivmed.v21i1.1118
Whilst COVID-19 has placed pressures on our healthcare 2. World Health Organisation. Appropriate medicines: Options for pre-exposure
system, it has been a blessing in disguise. The above lessons prophylaxis [homepage on the Internet]. Geneva: World Health Organisation;
2018 [cited 2020 Aug 20]. Licence: CC BY-NC-SA 3.0 IGO. Available from: https://
learnt can certainly guide us into reshaping our healthcare www.who.int/hiv/pub/journal_articles/3tc-ftc-interchangeable/en/
system by endorsing more resource-savvy and patient- 3. World Health Organization (WHO). Policy brief: WHO expands recommendation
on oral pre-exposure prophylaxis of HIV infection (PrEP) [homepage on the
oriented strategies. Internet]. Geneva, Switzerland: World Health Organisation; 2015 [cited 2020
Sept 5]. Available from: https://apps.who.int/iris/bitstream/handle/10665/
197906/WHO_HIV_2015.48_eng.pdf
Acknowledgements 4. World Health Organization. WHO model list of essential medicines: 20th list
(March 2017) [homepage on the Internet]. Geneva: World Health Organization;
Competing interests 2017 [cited 2020 Jul 13]. Available from: http://apps.who.int/iris/bitstream/
handle/10665/273826/EML-20-eng.pdf?ua=1
G.E. is a speaker, advisory board member and investigator 5. Hodges-Mameletzis I, Dalal S, Msimanga-Radebe B, Rodolph M, Baggaley R. Going
global: The adoption of the World Health Organization’s enabling recommendation
for Gilead Science, GSK and AbbVie. All other authors on oral pre-exposure prophylaxis for HIV. Sex Health. 2018;15(6):489–500.
https://doi.org/10.1071/SH18125
declared no competing interests with respect to this study.
6. Fonner VA, Dalglish SL, Kennedy CE, et al. Effectiveness and safety of oral HIV
preexposure prophylaxis for all populations. AIDS (London, England).
2016;30(12):1973. https://doi.org/10.1097/QAD.0000000000001145
Authors’ contributions 7. UNAIDS. Miles to go – Closing gaps, breaking barriers, righting injustices: Global
AIDS update 2018 [homepage on the Internet]. Geneva: Joint United Nations
The concept for this editorial was developed by A.C. and Programme on HIV/AIDS; 2018 [cited 2020 Sept 05]. p. 233. Available from:
https://www.unaids.org/en/resources/documents/ 2018/global-aids-update
G.E. M.E. developed the first draft. S.Z. performed the
8. Vural B, Acar OT, Topsever P, Filiz TM. Reliability and validity of Turkish version of
modified Morisky scale. J Turk Fam Phys. 1999;3(4):17–20.
1.Kasr Al-Aini HIV and Viral Hepatitis Fighting Group is a group of clinical leads in the
field of infectious diseases at Cairo University Hospitals, working in collaboration with 9. Khorshid M, Bakheet N, Abdallah S, Essam M, Cordie, A. COVID-19: A strong call
different Egyptian universities to provide high-quality care to people living with HIV for remote medicine in IBD. J Dig Dis. 2020;21(10):597–599. https://doi.
and viral hepatitis, with a special focus on continuous medical education and research. org/10.1111/1751-2980.12935
http://www.sajhivmed.org.za 121 Open Access