ABSTRACT
Community-based Antiretroviral Therapy models have the potentials of providing better coverage, improvingtreatment uptake, and producing good clinical outcome. This study was aimed at assessing the quality of antiretroviralservice delivery at selected community pharmacies in Akwa Ibom State, Nigeria. A systematic cross-sectionalstudy was carried out among Human Immunodeficiency Virus/AIDS clients devolved from hospitals to communitypharmacies for antiretrovirals refills. Community pharmacy with the highest number of clients was selected fromeach of the three senatorial districts of the State. A pre-tested questionnaire was used to obtain socio-demographiccharacteristics, medical and pharmaceutical data, devolvement information, quality of services received, and level ofclients’ satisfaction. Data collected were expressed as proportions and presented graphically. All the participants hadviral load well controlled below 1,000 cells/ml; and 99.43% were on Tenofovir/Lamivudine/Efavirenz or Zidovudine/Lamivudine/Nevirapine, while only 0.57% was on Abacavir/Lamivudine/Efavirenz. As a response to reason foraccepting devolvement, “shorter waiting time” had the highest frequency, while “proximity to residence” had thelowest frequency. Drug pick-up time in hospital ranged from 4 to 10 hours, while in pharmacy, it ranged from 0 to2 hours. Majority of the participants (88.24%–100.00%) from the different districts were satisfied with the differentservices received at the community pharmacies. “Very likely” as the likelihood of recommending the program forothers had the highest frequency. The clients were well controlled on the first line antiretrovirals and were satisfiedwith the services received during medication refill.