Scalability Metrics and Effort Requirements for a Long-Acting Injectable Antiretroviral Treatment Program

TL;DR

This paper examines the effort and resources needed to scale a long-acting injectable HIV treatment program, showing it is feasible despite high operational demands.

Contribution

The study quantifies the multidisciplinary effort required to scale an injectable antiretroviral treatment program in real-world settings.

Findings

Scaling to 113 patients required 2.25 full-time equivalents over 2.5 years.

Clinical outcomes were favorable despite high operational demands.

The program demonstrated real-world feasibility and scalability.

Abstract

Implementation of a long-acting injectable antiretroviral treatment program requires substantial multidisciplinary effort, particularly for program coordination, coverage/billing, and patient support/retention. As our program scaled to 113 patients over 2.5 years, a total of 2.25 full-time equivalents were required. Despite operational demands, clinical outcomes were favorable, supporting real-world feasibility and scalability.

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