HIV pre-exposure prophylaxis: pharmacists knowledge, perception and willingness to adopt future implementation in a Zimbabwean urban setting

Truvada® was approved for use in prevention of sexually acquired human immunodeficiency virus in 2012. Consumers may require information about pre-exposure prophylaxis from pharmacists since consultation is free. The aim of the study was to assess pharmacists’ knowledge, perception and willingness to adopt pre-exposure prophylaxis. In this descriptive cross-sectional study, community and hospital pharmacists in Harare were interviewed using a standard questionnaire between September and October 2012. Descriptive statistics and multiple linear regression analysis were used for data analysis. The response rate was 90%. Females comprised 47% of respondents. Most pharmacists had a negative perception about pre-exposure prophylaxis. Most pharmacists (94%) were willing to stock pre-exposure prophylaxis in their pharmacies. Cost, accessibility and increase in promiscuity were cited as major hindrances to future implementation. Only 58% of respondents were knowledgeable about pre-exposure prophylaxis. There is need for the government to increase accessibility and improve on awareness strategies for pre-exposure prophylaxis in Zimbabwe.Keywords: Truvada®, pre-exposure prophylaxis, pharmacist, knowledge, perceptio

Progress on the elimination of viral hepatitis in Zimbabwe: A review of the policies, strategies and challenges

Very few low‐income countries have developed national plans to achieve the viral hepatitis elimination targets set in the World Health Organization (WHO) strategy. We reviewed the policy environment, strategies and challenges on the fight against viral hepatitis in Zimbabwe. The review focussed on the Ministry of Health and Child Care (MoHCC) policy documents, strategic plans and reports. We performed key informant interviews to enhance evidence generated from the document review. Twelve documents were reviewed and interviews with 10 key informants were completed. The MoHCC established a technical working group to work towards elimination of viral hepatitis. The technical working group drafted a strategic plan for elimination of viral hepatitis; however, it is still awaiting implementation. Key strategies that are working well include screening of donated blood for transfusion, safe injection practices and hepatitis B virus (HBV) three‐dose vaccination. Current challenges in the drive towards elimination of viral hepatitis include poor to non‐existent surveillance systems, lack of epidemiological data, absence of the HBV vaccine birth dose and lack of systematic screening and treatment services for viral hepatitis. In conclusion, despite political will demonstrated towards achieving viral hepatitis elimination, substantial investment and work are required to implement the strategic plan and realize significant success