Community health worker-led ART delivery improved scheduled antiretroviral drug refill among men who have sex with men in Lagos State, Nigeria

Olujuwon Ibiloye, Patrick Akande, Jwanle Plang, Franklin Emerenini, Temiwoluwa Omole, Olusola Osindero, Tom Decroo

Research output: Contribution to journalA1: Web of Science-articlepeer-review


Background: Stigma affects access and treatment outcomes in men who have sex with men. We assessed the effect of novel community health worker-Led antiretroviral therapy delivery (CLAD).

Methods: A retrospective cohort study of routinely collected data was conducted. We used the t-test to compare the mean adherence to scheduled drug refill appointments before and after implementing CLAD.

Results: The mean adherence to drug refill was 1.4 (+/- 0.7 SD) of monthly scheduled refills before CLAD and 4.7 (+/- 1.2 SD) of monthly refills in CLAD (P <0.001).

Conclusion: The CLAD model was more effective for drug refill appointments than a regular HIV clinic.

Original languageEnglish
JournalInternational Health
Issue number2
Pages (from-to)196-198
Number of pages3
Publication statusPublished - 2021


  • Anti-HIV Agents/therapeutic use
  • Community Health Workers
  • HIV Infections/drug therapy
  • Homosexuality, Male
  • Humans
  • Male
  • Medication Adherence
  • Nigeria
  • Pharmaceutical Preparations
  • Retrospective Studies
  • Sexual and Gender Minorities

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