AUTHOR=Williams Victor , Haumba Samson , Ngwenya-Ngcamphalala Fikile , Mafukidze Arnold , Musarapasi Normusa , Byarugaba Hugben , Chiripashi Simbarashe , Dlamini Makhosazana , Maseko Thokozani , Dlamini Nkhosikhona Advocate , Nyapokoto Clara , Kibwana Sharon , Bongomin Pido , Mazibuko Sikhathele , Bhembe Fortunate , Ojoo Sylvia , Okello Velephi , Bazira Deus
TITLE=Implementation of the Automated Medication Dispensing System–Early Lessons From Eswatini
JOURNAL=International Journal of Public Health
VOLUME=68
YEAR=2023
URL=https://www.ssph-journal.org/journals/international-journal-of-public-health/articles/10.3389/ijph.2023.1606185
DOI=10.3389/ijph.2023.1606185
ISSN=1661-8564
ABSTRACT=Objectives: This article describes the implementation of an automated medication dispensing system (AMDS) in Eswatini to increase medication access and presents the early lessons from this implementation.
Methods: The AMDS was installed at four health facilities across two regions through collaborative stakeholder engagement. Healthcare workers were trained, and clients who met the inclusion criteria accessed their medications from the system. Each step of the implementation was documented and summarised in this article.
Results: Early lessons suggest that implementation of the AMDS is acceptable and feasible to clients and healthcare workers and that phased introduction of medication classes, commencing with antiretroviral therapy (ART) and incorporating other medications in later phases is feasible. Additionally, improved client-centred messaging and communication, consistent power supply and internet network connectivity, and scheduling medication pickup with other services increase AMDS system utilisation.
Conclusion: Eswatini has many clients living with HIV and non-communicable diseases (NCDs). Easy, convenient, quick, non-stigmatising and client-centred access to ART and medication for NCDs is critical in addressing retention in care and achieving optimal treatment outcomes.