PIMART – An Innovative Solution for Enhancing HIV Healthcare and Supporting National HIV Initiatives in South Africa

Abstract

Pharmacist-Initiated Management of Antiretroviral Therapy (PIMART), if implemented, could be a beneficial and complimentary strategy to expand HIV care in South Africa. This is especially so in underserved communities. With the comprehensive PIMART curriculum and training, along with policy support from regulators, pharmacists can enhance access to PEP, PrEP, and first-line ARVs. The objectives of PIMART also align with South Africa’s National Strategic Plan (NSP) 2023–2028 for HIV, Tuberculosis (TB), and Sexually Transmitted Infections (STIs). Both programmes support decentralised, integrated, and equitable care. Resolving the legal case between the Independent Practitioners Association Foundation (IPAF) and the South African Pharmacy Council (SAPC), strengthening regulatory support, and leveraging digital tools to scale up PIMART, are key factors to ensure full implementation. Key implementation strategies like policy reforms, continuous pharmacist training, digital health integration, community engagement, financial support, and strong monitoring systems, are necessary to ensure the rollout of PIMART is maximised. This will support service delivery and improve clinical effectiveness. A coordinated, multisectoral approach will enable pharmacists to contribute even further to South Africa’s HIV response and the achievement of the UNAIDS 95-95-95 targets.