Preventing Drug Sharing and Promoting Drug Compliance Sample Clauses

Preventing Drug Sharing and Promoting Drug Compliance. To address efforts at preventing drug sharing and for promoting drug compliance in countries using the Article 31bis framework, it is, perhaps, helpful to turn to strategies that have been put in place to prevent drug sharing among HIV/AIDS patients on antiretroviral therapies (ART) in developing and least-developed countries. Although these systems have been implemented primarily in the context of HIV/AIDS treatments and therapeutics, their overall strategies and lessons can be applied more broadly to other diseases and therapeutics. Two possible strategies that may be implemented are multi-month dosing of drugs and ensuring extended clinic operating hours.174 Multi-month drug (MMD) dispensing or multi-month scripting (MMS) provides a structure where patients can receive large amounts of their prescription product at each clinic visit, preventing the need for monthly, or even more frequent, visits.175 Perhaps somewhat counterintuitively, this has been shown to increase adherence and compliance on the part of patients and to decrease sharing of drugs with others.176 A more in-depth view explains why this is the case: if an individual patient can receive a larger amount of the product at each visit, that patient can spend less time in a clinic (and also fewer time and money resources on each clinic visit) and may be less likely to feel the pressure to obtain part of their dose from another person when theirs runs out. MMD dispensing is recommended as a best practice by The President’s Emergency Plan for AIDS Relief (PEPFAR), the primary United States government initiative aimed at global HIV/AIDS maintenance,
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