Pharmacist Involvement to Prevent and Manage HIV/AIDS in Indonesia: A Systematic Review
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Abstract
Abstract—Pharmacists’ involvement in the human immunodeficiency virus/acquired-immunodeficiency syndrome (HIV/AIDS) prevention and management program has been globally advocated. However, there is currently a lack of information on whether pharmacists’ roles in the program have been clearly articulated in the national policy records in countries with high scores on power distance and collectivism, such as Indonesia. This study aimed to explore the roles of pharmacists in the prevention and management of HIV/AIDS in Indonesia using a systematic review method. We systematically searched for relevant studies in three large medical databases (CINAHL, EMBASE, and PubMed) and for gray literature in both the Indonesian Pharmacist Association and the Ministry of Health websites, and the national regulation database. Only two studies gave a glimpse of pharmacists’ role in the prevention and management of patients with HIV/AIDS in Indonesia. However, activities conducted by pharmacists in each of these roles were not explicitly described. We found no official national policies mentioned the role of pharmacists in HIV/AIDS prevention and management. Since the practice of pharmacists is closely related to medications, including antiretroviral drugs, more research is needed to explore the role of pharmacists in the prevention and management of HIV/AIDS in a real-world context in Indonesia.
Keywords: AIDS, HIV, pharmacist, indonesia
Abstrak—Keterlibatan apoteker dalam program pencegahan dan tata laksana human immunodeficiency virus/acquired-immunodeficiency syndrome (HIV/AIDS) di dunia telah direkomendasikan. Akan tetapi, saat ini terdapat keterbatasan informasi mengenai apakah keberadaan peran apoteker dalam program tersebut telah dinyatakan dnegan jelas dalam dokumen kebijakan nasional di negara-negara yang memiliki skor tinggi pada power distance dan kolektivitas, seperti Indonesia. Penelitian ini bertujuan untuk menggali peran apoteker dalam pencegahan dan tata laksana HIV/AIDS di Indonesia menggunakan metode kajian sistematis. Secara sistematis, peneliti melakukan pencarian artikel penelitian terkait di tiga basis data medis yang besar (CINAHL, EMBASE, dan PubMed) dan pencarian gray literature di laman Ikatan Apoteker Indonesia dan Kementerian Kesehatan Republik Indonesia, serta di basis data peraturan nasional. Hanya dua penelitian yang memberikan secercah informasi mengenai peran apoteker dalam pencegahan dan tata laksana pasien dengan HIV/AIDS di Indonesia. Namun demikian, aktivitas spesifik yang dilakukan oleh apoteker tidak secara eksplisit digambarkan lebih lanjut. Peneliti tidak menemukan dokumen kebijakan nasional yang menyebutkan peran apoteker dalam pencegahan dan tata laksana HIV/AIDS. Oleh karena praktik kefarmasian berhubungan erat dengan obat, termasuk obat-obat antiretrovirus, maka dibutuhkan lebih banyak penelitian untuk menggali peran apoteker dalam pencegahan dan tata laksana HIV/AIDS pada konteks dunia-nyata di Indonesia.
Kata kunci: AIDS, HIV, apoteker,indonesia
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References
World Health Organization. Global situation and trends: HIV [updated 2022 July, cited 2022 December 19]. Available from: https://www.who.int/data/gho/data/themes/hiv-aids#:~:text=Globally%2C%2038.4%20million%20%5B33.9%E2%80%93,considerably%20between%20countries%20and%20regions
UNAIDS. Global HIV statistics - fact sheet 2023. 2023 [cited 2022 December 19]. Available from: https://www.unaids.org/en/resources/fact-sheet
In danger: UNAIDS global AIDS update 2022. Geneva: Joint United Nations Programme on HIV/AIDS (UNAIDS); 2022.
Tchakoute C, Rhee S-Y, Hare C, et al. Adherence to contemporary antiretroviral treatment regimens and impact on immunological and virologic outcomes in a US healthcare system. PLoS One. 2022;17(2):e0263742.
Tegegne A, Muluneh M, Agegn S, et al. A comparison of adherence and CD4 cell count with respect to virologic failure among HIV-infected adults under combination antiretroviral therapy (cART) at Felege Hiwot Teaching and Specialized Hospital, Bahir Dar, Ethiopia. HIV/AIDS - Research and Palliative Care. 2022;14:33-44.
Elgalib A, Al-Sawafi H, Kamble B, et al. Multidisciplinary care model for HIV improves treatment outcome: a single-centre experience from the Middle East. AIDS Care. 2018;30(9):1114-9.
Windsor L, Pinto R, Lee C. Interprofessional collaboration associated with frequency of life-saving links to HIV continuum of care services in the urban environment of Newark, New Jersey. BMC Health Services Research. 2020;20:1014.
Hofstede G. The applicability of McGregor's theories in South East Asia. The Journal of Management Development. 1987;6(3):9-18.
Mangundjaya W. Is there cultural change in the national cultures of Indonesia? In: Kashima Y, Kashima E, Beatson R, editors. Steering the cultural dynamics: selected papers from the 2010 Congress of the International Association for Cross-Cultural Psychology. 2013.
American Society of Health-System Pharmacists. ASHP guidelines on pharmacist involvement in HIV care. Am J Health-Syst Pharm. 2016;2016(73):468-94.
International Pharmaceutical Federation (FIP). HIV prevention, screening and management: a handbook for pharmacists. The Hague: International Pharmaceutical Federation; 2022.
Ahmed A, Dujaili JA, Hashmi FK, et al. The economic impact of pharmacist care for people living with HIV/AIDS: a systematic review. Exploratory Research in Clinical and Social Pharmacy. 2021;3.doi:10.1016/j.resop.2021.100066.
Ahmed A, Dujaili JA, Rehman IU, et al. Effect of pharmacist care on clinical outcomes among people living with HIV/AIDS: a systematic review and meta-analysis. Research in Social and Administrative Pharmacy. 2021.doi:10.1016/j.sapharm.2021.07.020.
Crawford ND MS, Young H, Klepser D, Tung E. The role of pharmacies in the HIV prevention and care continuums: a systematic review. AIDS Behav. 2021;25(6):1819-28.
Page MJ, Moher D, Bossuyt P, et al. PRISMA 2020 explanation and elaboration: updated guidance and exemplars for reporting systematic reviews. BMJ. 2021;372(n160).
Teeside University. Critical appraisal of qualitative paper 2023 [updated 2023 Jul 19; cited 2023 Aug 2].
Darmawansyah, Arifin M, MY A, et al. Decentralization implementation of HIV/AIDS programs in the Province of South Sulawesi. Medico-Legal Update. 2020;20(4):3596-600.
Hoke T, Boteganya M, Toyo O, et al. How home delivery of antiretroviral drugs ensured uninterrupted HIV treatment during COVID-19. Global Health: Science and Practice. 2021;9(4):978-89.
Direktorat Bina Farmasi Komunitas dan Klinik, Ditjen Bina Kefarmasian dan Alat Kesehatan. Pedoman pelayanan kefarmasian untuk orang dengan HIV/AIDS (ODHA). Jakarta: Kementerian Kesehatan Republik Indonesia; 2006.
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