Impact of the First Wave of the COVID-19 Pandemic on HIV/AIDS Programming in Kenya: Evidence from Kibera Informal Settlement and COVID-19 Hotspot Counties.
Impact of the First Wave of the COVID-19 Pandemic on HIV/AIDS Programming in Kenya: Evidence from Kibera Informal Settlement and COVID-19 Hotspot Counties.
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DOI：
10.3390/ijerph18116009
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发表时间：
2021-06-03
影响因子：
--
通讯作者：
Memiah P
中科院分区：
文献类型：
--
作者：
Muhula S;Opanga Y;Oramisi V;Ngugi C;Ngunu C;Carter J;Marita E;Osur J;Memiah P
该研究旨在确定COVID-19在第一波大流行期间对基贝拉非正式定居点和COVID-19热点县的艾滋病毒/艾滋病规划的影响。研究分两个阶段进行。第一阶段需要分析肯尼亚卫生信息系统的艾滋病毒护理和治疗二级数据（2018-2020年）。在第二阶段，对基贝拉非正式住区的艾滋病毒感染者进行了前瞻性队列研究。共有176名年龄在18岁及以上的参与者在基贝拉选定的医疗保健设施获得艾滋病毒服务，他们从设施电子病历中随机抽样，并随访三个月。从记录中提取社会人口统计学和联系方式，并与同意的参与者进行电话访谈。对艾滋病毒项目数据的回顾性审查结果表明，接受艾滋病毒服务的人数减少了56%（p < 0.000，95% CI：31.3%-62.8%）。在热点县，开始抗逆转录病毒治疗（ART）的患者显著减少了48%（p < 0.001，95% CI：35.4%-77%）。然而，暴露前预防摄入量显著增加了24%（p < 0.019，95% CI：4%-49%）。在基贝拉，14%的人报告在COVID-19大流行开始时由于缺乏食物（38%）和政府措施（11%）而导致药物丢失，这影响了ART的获得; 11%的人由于担心感染COVID-19、政府法规和缺乏个人防护设备而没有使用医疗设施。社会经济因素、粮食不安全和政府措施影响了艾滋病毒/艾滋病服务的接受;因此，需要加强措施，在大流行病爆发期间增加获得艾滋病毒/艾滋病服务的机会。
The study sought to determine the impact of COVID-19 on HIV/AIDS programming in the Kibera informal settlement and COVID-19 hotspot counties during the first wave of the pandemic. The study was conducted in two phases. The first phase entailed the analysis of HIV care and treatment secondary data (2018–2020) from the Kenya Health Information System. In the second phase, a prospective cohort study was conducted among people living with HIV in the Kibera informal settlement. A total of 176 participants aged 18 years and above accessing HIV services at selected healthcare facilities in Kibera were randomly sampled from facility electronic medical records and followed up for three months. Socio-demographics and contact details were abstracted from the records and telephone interviews were conducted with consenting participants. Results from the retrospective review of HIV program data indicated a 56% (p < 0.000, 95% CI: 31.3%–62.8%) reduction in uptake of HIV services. Clients starting antiretroviral therapy (ART) reduced significantly by 48% (p < 0.001, 95% CI: 35.4%–77%) in hotspot counties. However, pre-exposure prophylaxis uptake increased significantly by 24% (p < 0.019, 95% CI: 4%–49%). In Kibera, 14% reported missing medications at the onset of the COVID-19 pandemic because of lack of food (38%) and government measures (11%), which affected ART access; 11% did not access health facilities due to fear of contracting COVID-19, government regulations and lack of personal protective equipment. Socioeconomic factors, food insecurity and government measures affected uptake of HIV/AIDS services; hence, the need for scaling up measures to increase access to HIV/AIDS services during the onset of pandemics.
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影响因子：
9.3
作者：
Quaife M;van Zandvoort K;Gimma A;Shah K;McCreesh N;Prem K;Barasa E;Mwanga D;Kangwana B;Pinchoff J;CMMID COVID-19 Working Group;Edmunds WJ;Jarvis CI;Austrian K
通讯作者：
Austrian K
影响因子：
3.7
作者：
Njuguna HN;Cosmas L;Williamson J;Nyachieo D;Olack B;Ochieng JB;Wamola N;Oundo JO;Feikin DR;Mintz ED;Breiman RF
通讯作者：
Breiman RF
影响因子：
19
作者：
Pearson, Carl A. B.;Van Schalkwyk, Cari;Pulliam, Juliet R. C.
通讯作者：
Pulliam, Juliet R. C.
影响因子：
4.9
作者：
Ngure, Kenneth;Heffron, Renee;Baeten, Jared M.
通讯作者：
Baeten, Jared M.
影响因子：
3.3
作者：
Feikin, Daniel R.;Nguyen, Ly Minh;Lindblade, Kim A.
通讯作者：
Lindblade, Kim A.