Evaluating the Impact of the COVID-19 Pandemic on Accessing HIV Services in South Africa: A Systematic Review.
Evaluating the Impact of the COVID-19 Pandemic on Accessing HIV Services in South Africa: A Systematic Review.
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DOI：
10.3390/ijerph191911899
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发表时间：
2022-09-21
影响因子：
--
通讯作者：
Akrami, Mohammad
中科院分区：
文献类型：
--
作者：
Jardim, Claudia Goncalves Rebelo;Zamani, Reza;Akrami, Mohammad
关键词：
南非在控制人体免疫缺陷病毒（艾滋病毒）流行病方面取得了进展。然而，2019年冠状病毒病（COVID-19）的出现扰乱了获得卫生保健的机会。本系统综述旨在评估这一流行病对南非初级卫生保健（PHC）层面获得艾滋病毒服务的影响。重点介绍了受到重大影响的艾滋病毒服务，并就今后的突发公共卫生事件提出了建议。2022年1月对三个数据库进行了搜索。这些研究包括那些报告南非初级保健水平的艾滋病毒服务的研究。从搜索中，确定了203篇论文，其中34篇全文被筛选。11项研究符合纳入标准并纳入本综述。总体而言，据报道，艾滋病毒检测、艾滋病毒检测呈阳性和开始抗逆转录病毒治疗（ART）的人数有所减少。据报告，抗逆转录病毒治疗的提供具有复原力，这意味着在整个大流行期间坚持治疗。研究结果表明，私立初级保健机构的艾滋病毒服务不受影响，然而，据报道，公共初级保健机构的艾滋病毒服务总体下降，不包括产前护理，这显示出弹性。
Progress has been made towards controlling the Human Immunodeficiency Virus (HIV) epidemic in South Africa. However, the emergence of coronavirus disease 2019 (COVID-19) has disrupted access to health care. This systematic review aims to evaluate the impact of the pandemic on accessing HIV services at a primary health care (PHC) level in South Africa. HIV services that have been significantly impacted are highlighted, and recommendations for future public health emergencies are made. Three databases were searched in January 2022. The studies included were those that reported on HIV services at a PHC level in South Africa. From the searches, 203 papers were identified, of which 34 full texts were screened. Eleven studies met the inclusion criteria and were included in this review. Overall, decreases in HIV testing, positive HIV tests, and initiation of antiretroviral therapy (ART) were reported. Resilience of ART provision was reported, meaning that adherence to treatment was sustained throughout the pandemic. The findings showed that HIV services at private PHC facilities were unaffected, however, an overall decrease in HIV services at public PHC facilities was reported, excluding antenatal care which showed resilience.
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影响因子：
6.3
作者：
Achoki T;Sartorius B;Watkins D;Glenn SD;Kengne AP;Oni T;Wiysonge CS;Walker A;Adetokunboh OO;Babalola TK;Bolarinwa OA;Claassens MM;Cowden RG;Day CT;Ezekannagha O;Ginindza TG;Iwu CCD;Iwu CJ;Karangwa I;Katoto PD;Kugbey N;Kuupiel D;Mahasha PW;Mashamba-Thompson TP;Mensah GA;Ndwandwe DE;Nnaji CA;Ntsekhe M;Nyirenda TE;Odhiambo JN;Oppong Asante K;Parry CDH;Pillay JD;Schutte AE;Seedat S;Sliwa K;Stein DJ;Tanser FC;Useh U;Zar HJ;Zühlke LJ;Mayosi BM;Hay SI;Murray CJL;Naghavi M
通讯作者：
Naghavi M
影响因子：
8.1
作者：
Kim H;Tanser F;Tomita A;Vandormael A;Cuadros DF
通讯作者：
Cuadros DF
DOI：
10.1016/s2352-3018(20)30359-3
发表时间：
2021-03
期刊：
The lancet. HIV
影响因子：
--
作者：
Dorward J;Khubone T;Gate K;Ngobese H;Sookrajh Y;Mkhize S;Jeewa A;Bottomley C;Lewis L;Baisley K;Butler CC;Gxagxisa N;Garrett N
通讯作者：
Garrett N
影响因子：
4.4
作者：
Naidoo, Shan
通讯作者：
Naidoo, Shan
DOI：
10.1093/cid/ciac055
发表时间：
2022-08-24
期刊：
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
影响因子：
--
作者：
Perofsky AC;Tempia S;Bingham J;Maslo C;Toubkin M;Laubscher A;Walaza S;Pulliam JRC;Viboud C;Cohen C
通讯作者：
Cohen C