Implementation and Evaluation of a Collaborative, Pharmacy-Based Hepatitis C and HIV Screening Program

IntroductionPharmacy-based HIV and hepatitis C virus (HCV) screening ser-vices developed in conjunction with state and local health depart-ments can improve public health through increased access to test-ing and a linkage-to-care strategy. The objective of this study was to evaluate the impact of implementing HIV and HCV screening in community pharmacies.MethodsThis prospective, multicenter implementation project was conduc-ted from July 2015 through August 2018. Sixty-one pharmacies participated in 3 US regions. We assessed the effectiveness of point-of-care testing, counseling, and disease education for popu-lations at increased risk for HIV and HCV infection through screening programs offered in community pharmacies. Pharmacy customers were offered screening with point-of-care HIV and/or HCV tests. Reactive test results were reported to state or local health departments for disease surveillance.ResultsA total of 1,164 patients were screened for HIV, HCV, or both at the 61 participating pharmacies; the average number of patients screened per pharmacy was 19. Pharmacists conducted 1,479 HIV or HCV tests among the 1,164 patients. Five of 612 (0.8%) HIV tests yielded a reactive result, and 181 of 867 (20.9%) of HCV tests yielded a reactive result.ConclusionPatients at increased risk of HIV or HCV can benefit from screen-ing for infection at community pharmacies. Ease of accessibility to testing coupled with a strategy for linkage to care designed for the local community can improve patient care and improve the course of treatment for HIV and HCV.