Impact of the COVID-19 pandemic on the provision and uptake of services for the prevention of mother-to-child transmission of HIV in Zimbabwe DOI Creative Commons
Elizabeth Chappell,

Anesu Chimwaza,

Ngoni Manika

et al.

PLOS Global Public Health, Journal Year: 2023, Volume and Issue: 3(8), P. e0002296 - e0002296

Published: Aug. 14, 2023

Zimbabwe is targeting elimination of mother-to-child transmission HIV by December 2025, however the COVID-19 pandemic challenged health service delivery globally. Monthly aggregated data were extracted from DHIS-2 for all facilities delivering antenatal care (ANC). ZIMSTAT and Spectrum demographic estimates used population-level denominators. Programme indicators are among those in population reflect total population. The mean estimated proportion pregnant women booking ANC per month did not change (91% pre-pandemic vs 91% during pandemic, p = 0.95), despite dropping to 47% April 2020. At a programme-level, who received at least one test fell 2020 (3.6% relative reduction March (95% CI 2.2-5.1), p<0.001) with gradual recovery towards levels. retested initially negative pregnancy markedly (39% (32-45%), subsequent increase was much slower, only reaching 39% September 2021 compared average 53% pre-pandemic. on ART unchanged programme-level (98% 98%, 0.26), but decreased (86% 80%, 0.049). Antiretroviral prophylaxis coverage HIV-exposed infants, programme- (94% 87%, 0.001) population-levels (76% 68%, p<0.001). There no significant infants receiving EID (programme: 107% 103%, 0.52; population: 87% 79%, 0.081). diagnosed 27% 18%, (p<0.001), while stable programme (88% 90%, 0.82) (22% 16%, 0.004) level. Despite drop start most rapidly recovered. slower return, suggesting less identified care.

Language: Английский

Repercussions of the COVID-19 pandemic on the HIV care continuum and related factors in economically disadvantaged nations: an integrated analysis using mixed-methods systematic review DOI Creative Commons
Emmanuela Ojukwu, Zahra Pashaei, Juliana Cunha Maia

et al.

European journal of medical research, Journal Year: 2024, Volume and Issue: 29(1)

Published: June 26, 2024

The COVID-19 pandemic affected the self-management and care of people living with HIV, requiring adaptations in way health services are provided. However, it is unclear how these changes impacted HIV low-income countries.

Language: Английский

Citations

4
Perinatal clients’ experiences of care during COVID-19 in the Northwest District, South Africa DOI Creative Commons

Tebogo J. Matladi,

Sharon H. Maluleke-Ngomane,

Wanda Jacobs

et al.

Health SA Gesondheid, Journal Year: 2025, Volume and Issue: 30

Published: April 15, 2025

Language: Английский

Citations

0
Impact of the COVID-19 pandemic on the provision and uptake of services for the prevention of mother-to-child transmission of HIV in Zimbabwe DOI Creative Commons
Elizabeth Chappell,

Anesu Chimwaza,

Ngoni Manika

et al.

PLOS Global Public Health, Journal Year: 2023, Volume and Issue: 3(8), P. e0002296 - e0002296

Published: Aug. 14, 2023

Zimbabwe is targeting elimination of mother-to-child transmission HIV by December 2025, however the COVID-19 pandemic challenged health service delivery globally. Monthly aggregated data were extracted from DHIS-2 for all facilities delivering antenatal care (ANC). ZIMSTAT and Spectrum demographic estimates used population-level denominators. Programme indicators are among those in population reflect total population. The mean estimated proportion pregnant women booking ANC per month did not change (91% pre-pandemic vs 91% during pandemic, p = 0.95), despite dropping to 47% April 2020. At a programme-level, who received at least one test fell 2020 (3.6% relative reduction March (95% CI 2.2-5.1), p<0.001) with gradual recovery towards levels. retested initially negative pregnancy markedly (39% (32-45%), subsequent increase was much slower, only reaching 39% September 2021 compared average 53% pre-pandemic. on ART unchanged programme-level (98% 98%, 0.26), but decreased (86% 80%, 0.049). Antiretroviral prophylaxis coverage HIV-exposed infants, programme- (94% 87%, 0.001) population-levels (76% 68%, p<0.001). There no significant infants receiving EID (programme: 107% 103%, 0.52; population: 87% 79%, 0.081). diagnosed 27% 18%, (p<0.001), while stable programme (88% 90%, 0.82) (22% 16%, 0.004) level. Despite drop start most rapidly recovered. slower return, suggesting less identified care.

Language: Английский

Citations

5