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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













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