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Neftaly Pharmacist Initiated Management of Antiretroviral Treatment (PIMART) online course
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Here’s a detailed overview of the Neftaly Pharmacist‑Initiated Management of Antiretroviral Treatment (PIMART) online course, provided via the Southern African HIV Clinicians Society (SAHCS):
???? Course Details
About the Course
- Officially called Pharmacist Initiated Management of Antiretroviral Treatment (PIMART), designed to empower pharmacists in HIV prevention and uncomplicated ART prescription within pharmacy settings The Mail & Guardian+11sahivsoc.org+11sahivsoc.org+11.
- Developed in collaboration with experts and SAHCS clinicians to ensure high clinical standards sahivsoc.org.
Learning Structure
- 21 online modules, each followed by a multiple‑choice quiz (≥70% pass required).
- A final MCQ exam (30 questions, 120 mins, ≥70% pass, up to 3 retakes).
- 24 case‑based scenarios with quizzes (each ≥70% required).
- Access duration: ~60 hours of content, accessible over six months pharmaciae.org.za+2sahivsoc.org+2sahivsoc.org+2.
Course Modules
Modules include:
- Introduction to PIMART
- Epidemiology of HIV
- Testing & Diagnosis
- CD4/Viral Load
- Staging & Clinical Assessment
- Counselling
- PEP
- PrEP
- ART
- Supporting Adherence
- Drug Resistance
- Drug Interactions
- Opportunistic Infections
- HIV & Comorbidities
- STIs
- Safer Conception
- Contraception
- PMTCT
- TB/HIV Co‑infection
- Referral & Retention in Care
- Data Management PMC+11sahivsoc.org+11allAfrica.com+11sahivsoc.org+6PMC+6The Mail & Guardian+6allAfrica.com+2sahivsoc.org+2Acts Online+2
Cost
- Current fee is R4,770 (incl. 15% VAT), same price as NIMART’s course in 2025. Note: pricing is subject to change Acts Online+2sahivsoc.org+2sahivsoc.org+2.
???? Post-Course Permit & Scope
Section 22A(15) Permit
- Completion qualifies pharmacists to apply to the National Department of Health for a Section 22A(15) permit, enabling them to:
- Prescribe PrEP, PEP, and first-line ART to uncomplicated HIV clients, in line with clinical guidelines.
- Refer clients with comorbidities or complex cases to GPs or facilities in a referral network Journals.co.za+6sahivsoc.org+6PMC+6sahivsoc.org.
Legal Status & Court Litigation
- In February 2022, the IPA Foundation (GP interest group) filed court proceedings to halt PIMART implementation and permit issuance Acts Online+10pharmaciae.org.za+10allAfrica.com+10.
- The North Gauteng High Court ruled in August 2023 in favor of PIMART, affirming its legitimacy and the competency design of the course pharmaciae.org.za+1sahivsoc.org+1.
- However, as of September 2023, the IPAF has been granted leave to appeal. Therefore:
- New permit issuance and course accreditation remain paused until final resolution from appellate levels pharmaciae.org.za.
✅ Summary Table
| Feature | Details |
|---|---|
| Provider | SAHCS (Southern African HIV Clinicians Society) |
| Format | Online course (~60 hours), modular quizzes, final exam, case studies |
| Pass Criteria | ≥70% on quizzes and final exam |
| Access Duration | Up to 6 months after registration |
| Cost (2025) | R4,770 including VAT |
| Eligibility | Registered pharmacists only |
| Permit | Section 22A(15) application post‑course (pending current legal appeal) |
| Scope with Permit | Prescribe PEP, PrEP, first‑line ART; manage uncomplicated HIV clients |
ℹ️ Key Considerations
- Although the course is open and registrations are active, pharmacists cannot yet legally provide clinical services via PIMART until the court appeal is concluded and permits resume being issued Spotlight+5sahivsoc.org+5sahivsoc.org+5reddit.com+2sahivsoc.org+2sahivsoc.org+2allAfrica.com+11pharmaciae.org.za+11sahivsoc.org+11PMC+6allAfrica.com+6Spotlight+6.
- Pharmacists interested should still complete the course to be permit‑ready once regulatory approval is granted.
Would you like help comparing this with the NIMART course for nurses, or details on how to prepare your Portfolio of Evidence to apply for a permit?
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