Interruptions to HIV Care Delivery During Pandemics and Natural Disasters: A Qualitative Study of Challenges and Opportunities From Frontline Healthcare Providers in Western Kenya.
Interruptions to HIV Care Delivery During Pandemics and Natural Disasters: A Qualitative Study of Challenges and Opportunities From Frontline Healthcare Providers in Western Kenya.
复制标题
大流行和自然灾害期间艾滋病毒护理提供的中断：肯尼亚西部一线医疗保健提供者的挑战和机遇的定性研究。
DOI：
10.1177/23259582231152041
复制
发表时间：
2023-01
影响因子：
--
通讯作者：
Genberg, Becky L.
中科院分区：
文献类型：
--
作者：
Tran, Dan N.;Ching, Jennifer;Kafu, Catherine;Wachira, Juddy;Koros, Hillary;Venkataramani, Maya;Said, Jamil;Pastakia, Sonak D.;Galarraga, Omar;Genberg, Becky L.
在公共卫生危机期间，艾滋病毒携带者(PLWH)可能脱离护理。这项研究的目的是了解新冠肺炎大流行和最近的洪灾对肯尼亚西部艾滋病毒护理服务的影响。我们对四个卫生机构的艾滋病毒提供者进行了十次个人深入访谈。我们使用迭代和集成的归纳和演绎数据分析方法来生成四个主题。首先，结构性中断的增加加剧了卫生设施的压力。其次，医疗服务提供者的身体和心理社会倦怠加剧。第三，患者对艾滋病毒连续服务的接受度下降，特别是在易受感染的患者中。最后，可以调整现有的以社区为基础的方案和远程会诊，以提供差异化的艾滋病毒护理。以社区为中心的护理计划，重点是克服社会、经济和结构障碍，将是确保最佳护理和限制公共卫生中断对全球艾滋病毒护理的影响的关键。
During public health crises, people living with HIV (PLWH) may become disengaged from care. The goal of this study was to understand the impact of the COVID-19 pandemic and recent flooding disasters on HIV care delivery in western Kenya. We conducted ten individual in-depth interviews with HIV providers across four health facilities. We used an iterative and integrated inductive and deductive data analysis approach to generate four themes. First, increased structural interruptions created exacerbating strain on health facilities. Second, there was increased physical and psychosocial burnout among providers. Third, patient uptake of services along the HIV continuum decreased, particularly among vulnerable patients. Finally, existing community-based programs and teleconsultations could be adapted to provide differentiated HIV care. Community-centric care programs, with an emphasis on overcoming the social, economic, and structural barriers will be crucial to ensure optimal care and limit the impact of public health disruptions on HIV care globally.
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DOI：
10.3390/ijerph18116009
发表时间：
2021-06-03
影响因子：
--
作者：
Muhula S;Opanga Y;Oramisi V;Ngugi C;Ngunu C;Carter J;Marita E;Osur J;Memiah P
通讯作者：
Memiah P
影响因子：
4.7
作者：
Chutiyami M;Cheong AMY;Salihu D;Bello UM;Ndwiga D;Maharaj R;Naidoo K;Kolo MA;Jacob P;Chhina N;Ku TK;Devar L;Pratitha P;Kannan P
通讯作者：
Kannan P
影响因子：
64.3
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通讯作者：
Patel, Vikram
DOI：
10.1080/09540120600838688
发表时间：
2006-01-01
影响因子：
1.7
作者：
Clark, Rebecca A.;Besch, Lynn;Lincoln, Kathleen
通讯作者：
Lincoln, Kathleen
DOI：
10.1097/qad.0000000000002892
发表时间：
2021-07-01
期刊：
AIDS (London, England)
影响因子：
--
作者：
Grove M;Brown LL;Knudsen HK;Martin EG;Garner BR
通讯作者：
Garner BR