Home delivery of medication during Coronavirus disease 2019, Cape Town, South Africa: Short report

Brey, Zameer; Mash, Robert; Goliath, Charlyn; Roman, Darrin

doi:10.4102/phcfm.v12i1.2449

Cited by 70 publications

(117 citation statements)

References 2 publications

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“…The Metropolitan Health Services of South Africa established a system of home delivery of TB medication using a city-wide network of community health workers (CHWs) and innovative ways like Uber, bicycles and electric scooters. ( Brey et al, 2020 )…”

Section: What Is Causing the Disruption Of Services?mentioning

confidence: 99%

TB and COVID – Public and private health sectors adapt to a new reality

Klinton¹,

Oga‐Omenka²,

Heitkamp³

2020

Journal of Clinical Tuberculosis and Other Mycobacterial Diseas

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Health systems across the world have been baffled by the COVID19 pandemic. Tuberculosis (TB) care and prevention especially in high burden countries has faced disruption to their routine services. Though these setbacks were predicted by many modelling studies, reports and surveys from the field convey the hard reality faced by the TB services. However, health systems have not given up and have become resilient by adapting interesting strategies to overcome these obstacles. The private health sector has also stepped up to the occasion by supporting national TB programs through innovative approaches. The scientific community has laid down several evidence-based recommendations to help TB programs get back on track. Its time to unite these forces to not just overcome the challenge posed by the pandemic but also to build a more resilient health system.

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Section: What Is Causing the Disruption Of Services?mentioning

confidence: 99%

TB and COVID – Public and private health sectors adapt to a new reality

Klinton¹,

Oga‐Omenka²,

Heitkamp³

2020

Journal of Clinical Tuberculosis and Other Mycobacterial Diseas

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show abstract

“…Vulnerable patients -PLHIV, patients with chronic conditions, TB patients and former TB patients xplore using CHWs to deliver drugs, as has been done in Western Cape Province. [46] NDoH to draw up guideline documents detailing how facility visits should be minimised. Provincial health departments will have to establish external pick-up points, and health facilities will have to ensure that these function optimally, and that IPC is implemented.…”

Section: Testing and Tracingmentioning

confidence: 99%

Opportunities from a new disease for an old threat: Extending COVID-19 efforts to address tuberculosis in South Africa

et al. 2020

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“…Most recently, as part of the response to the COVID-19 epidemic in South Africa, the Cape Town metropole health services decided to institute formal home delivery of medication to reduce the risk of COVID-19 in chronic patients [ 50 ]. This programme utilised and combined all of the current community distribution models, but relied heavily on home delivery of medicines by community health workers.…”

Section: Discussionmentioning

confidence: 99%

Access to chronic medicines: patients’ preferences for a last kilometre medicine delivery service in Cape Town, South Africa

Adams¹,

Mulubwa

Huyssteen

et al. 2021

BMC Fam Pract

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Background Chronic patients are required to access their chronic medicines on a regular basis, often only to refill their repeat prescriptions. Adherence to chronic medicines is challenging and has stimulated health care providers to devise differentiated service delivery models of care to decentralise chronic medicine distribution to decrease the frequency of medicine collection at health care facilities. One such option includes a last kilometre medicine delivery service. This study investigated chronic patients’ preferences for a last kilometre medicine delivery service model. Methods An exploratory non-randomised quantitative study was conducted over 4 weeks at four public sector primary health care facilities in Cape Town, South Africa. Data was collected on a structured questionnaire from chronic patients queuing to receive medication at each facility’s pharmacy waiting area. Patient demographics were noted to align with preferences for chronic medicine service delivery characteristics including; mobile ordering, fee for service and location for delivery. Chi-square test and frequencies were employed to analyse data using SPSS version 23. Results A total of 116 patients participated in this study. Most were interested in a medicine delivery service (80.2%) and were willing to use a mobile application to order their medicines (84.5%). Almost all patients (96.8%) preferred that their medicines be delivered to their home. More than three quarters of participants were willing to pay for the service (77.6%). Chi-square test showed that gender, age group, employment status, distance to the health facility and /or average waiting time at the clinic significantly influenced the preference for certain characteristics of the medicine delivery service (p < 0.05). Conclusion Most participants were interested in a last kilometre medicine delivery service, especially those older than 45 years, waiting for more than 6 h at the facility, and staying within one kilometre radius of the clinic. More studies are needed to establish the influence of patients’ employment status and the distance to health facility on interest in the medicine delivery service.

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Home delivery of medication during Coronavirus disease 2019, Cape Town, South Africa: Short report

Cited by 70 publications

References 2 publications

TB and COVID – Public and private health sectors adapt to a new reality

TB and COVID – Public and private health sectors adapt to a new reality

Opportunities from a new disease for an old threat: Extending COVID-19 efforts to address tuberculosis in South Africa

Access to chronic medicines: patients’ preferences for a last kilometre medicine delivery service in Cape Town, South Africa

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