Original Research

Barriers and facilitators to medicine collection through the CCMDD programme at a Durban Hospital

Simangele I. Hlongwana, Andrew L. Gray
Health SA Gesondheid | Vol 27 | a1906 | DOI: https://doi.org/10.4102/hsag.v27i0.1906 | © 2022 Simangele I. Hlongwana, Andrew L. Gray | This work is licensed under CC Attribution 4.0
Submitted: 07 January 2022 | Published: 27 September 2022

About the author(s)

Simangele I. Hlongwana, Discipline of Public Health Medicine, University of KwaZulu-Natal, Durban, South Africa; and, Discipline of Pharmaceutical Sciences, School of Health Sciences, University of KwaZulu-Natal, Durban, South Africa; and, King Edward VIII Hospital, Durban, South Africa
Andrew L. Gray, Division of Pharmacology, Discipline of Pharmaceutical Sciences, University of KwaZulu-Natal, Durban, South Africa

Abstract

Background: South Africa has rekindled health reform efforts through the implementation of the Centralised Chronic Medicine Dispensing and Distribution (CCMDD) programme, as a precursor towards achieving envisioned National Health Insurance (NHI). The CCMDD programme enables stable patients to collect chronic medicines dispensed centrally from designated pick-up-points (PuPs). Barriers and facilitators of chronic medicine collection exist at different levels.

Aim: To identify barriers and facilitators associated with patients’ characteristics and noncollection of CCMDD patient medicine parcels (PMPs).

Setting: The study was conducted at a regional public sector hospital which provides support for 19 primary facilities.

Methods: An observational cross-sectional comparative study was conducted.

Results: There was no statistically significant difference in collection status in terms of most of the variables compared. Patients who had been on treatment longer or who were receiving multiple items were more likely to collect medication, as were patients with arthritis, HIV and AIDS, but the association was no longer significant after adjusting for other confounders. Patients using internal PuPs were significantly more likely to collect their PMPs than patients using external PuPs, and this may have implications for achieving CCMDD objectives.

Conclusion: This study has revealed that recently diagnosed patients are enrolled onto the CCMDD programme whilst the chronic condition stability is not yet attained. Patients were also enrolled onto the programme at the referral facility instead of being down-referred.

Contribution: This study makes a case for evaluation research to further assess the CCMDD programme implementation, in order to improve uptake and cost-effectiveness.


Keywords

CCMDD; barriers and facilitators; chronic medicine collection; patient medicine parcels; pick-up-points; National Health Insurance; patient characteristics; adherence

Metrics

Total abstract views: 2105
Total article views: 2816

 

Crossref Citations

1. Does type of antiretroviral therapy pick-up point influence 12-month virologic suppression in South Africa?
Ingrid V. Bassett, Joyce Yan, Sabina Govere, Anele Khumalo, Zinhle Shazi, Mpilonhle Nzuza, Taing Aung, Kashfia Rahman, Dani Zionts, Nduduzo Dube, Sandile Tshabalala, Laura M. Bogart, Robert A. Parker
AIDS Care  vol: 36  issue: 10  first page: 1518  year: 2024  
doi: 10.1080/09540121.2024.2361817