Evaluating the introduction of COVID-19 oral antivirals through a test and treat program: outcomes from a cohort study in four African countries
These data are the first to suggest COVID-19 oral antiviral treatment can be quickly, efficiently and safely deployed in lower- and middle-income countries, in parallel with implementation research. Programs rapidly integrated their COVID-19 response into existing health service infrastructure, allowing for decentralization and demonstrating that introducing newly developed diagnostics and treatment in government health systems is feasible in lower-resourced settings during health emergencies. Equitable and timely access to diagnostics and treatments is crucial to combat emerging global disease threats and achieve global health equity.
Authors
- Nyuma Mbewe (ORCID: https://orcid.org/0000-0002-3309-0538)
- Jessica Joseph (ORCID: https://orcid.org/0000-0002-3860-4673)
- Christian B. Ramers (ORCID: https://orcid.org/0000-0003-2419-2054)
- Sabine Umuraza
- Edson Rwagasore (ORCID: https://orcid.org/0009-0006-5002-0829)
- Lawrence Ofori-Boadu
- Caroline E. Boeke (ORCID: https://orcid.org/0000-0003-1939-1307)
- Maria V. Grau‐Sepulveda
- Mwaba Mulenga
- Alexander Martin-Odoom (ORCID: https://orcid.org/0000-0003-4737-5718)
- Bridget C. Griffith (ORCID: https://orcid.org/0000-0003-4804-7919)
- Cameron R. Wolfe (ORCID: https://orcid.org/0000-0002-5365-5030)
- Dyson Telela
- Shanti Narayansamy
- Norman Lufes
Institutions
- Ministry of Health (GH)
- Duke University (US)
- Clinical Research Institute (US)
- Public Health Institute of Malawi (MW)
- Clinton Health Access Initiative (US)
- Duke Institute for Health Innovation (US)
- Ministry of Health (MW)
- Zambia National Public Health Institute (ZM)
- Rwanda Biomedical Center (RW)
- National Institute of Public Administration (ZM)
- Ministry of Health (RW)
Publication Details
- Journal
- International Journal of Infectious Diseases
- Published
- 2025-06-19
- DOI
- https://doi.org/10.1016/j.ijid.2025.107956
- Citations
- 1
- Primary Topic
- SARS-CoV-2 and COVID-19 Research
- Type
- article
- Field-Weighted Citation Impact
- 1.40
Funders
- Conrad N. Hilton Foundation
- Open Society Foundations
- Pfizer
- Rwanda Biomedical Centre
- Duke Global Health Institute, Duke University
- School of Medicine, Duke University
- Duke Clinical Research Institute