However, at the start of the COVID-19 pandemic, it was recognized that providing MMD for all PLHIV, including children, was a necessary strategy to ensure that the few gains made in the fight against pediatric HIV were not lost. While many programs have moved to providing MMD for adults, implementation in children has been particularly challenging due to a variety of factors such as pediatric ARV shortages, the perception that children and adolescents living with HIV (CALHIV) are sicker, and anxiety that more frequent follow up is necessary to provide quality pediatric care. Multi-month dispensing (MMD) is the prescribing and dispensing of three to six months of antiretrovirals (ARV) and other medicines required for treatment of people living with HIV (PLHIV).
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