Preferences for Antiretroviral Refill and Pickup Through Community Pharmacies in Busia, Kajiado, and Nairobi Counties

To improve the financial sustainability of Kenya’s HIV response, the role of the private sector in healthcare delivery, specifically in HIV prevention and treatment, needs to be enhanced. One way to achieve this is with the distribution of antiretroviral drugs (ARVs) through registered private pharmacies to leverage attributes private pharmacies may offer in convenience, reduced travel time, longer opening hours, discretion, and quality. This report describes the results of interviews in Busia, Kajiado, and Nairobi counties exploring client and pharmacy preferences around ARV refill and pickup at community pharmacies, clients’ willingness and ability to pay, and the interest and willingness of pharmacies to accept this differentiated service delivery model. The assessment established that this is an acceptable alternative differentiated service delivery model for most clients interviewed. Based on the assessment findings, HP+ recommends, among other actions, that Kenya pilot ARV refill and pickup through community pharmacies for stable HIV clients.

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