The impact of the COVID-19 pandemic on HIV healthcare delivery for females in sub-Saharan Africa: A scoping review DOI Creative Commons
Rita Kothari, Robert W. Baran, Paulina Rudziak

et al.

PLOS Global Public Health, Journal Year: 2024, Volume and Issue: 4(12), P. e0002975 - e0002975

Published: Dec. 5, 2024

Throughout sub-Saharan Africa (SSA), females are disproportionately impacted by HIV and face generalized but also gendered social economic barriers to accessing healthcare services. At the outset of pandemic, many anticipated COVID-19 would represent a major set-back for care in region. The impact on health services HIV-affected populations has been reported specific not synthesized SSA objective this scoping review is investigate delivery SSA. Four databases were searched identify relevant studies. Studies included limited English primary research articles reporting interactions between amongst Two pairs reviewers each screened 1390 via abstract full-text screening, data extraction was facilitated with standardized protocol. A total 39 studies review. Through thematic analysis articles, we identified five themes—accessibility, availability, affordability, clinical barriers, psychosocial barriers—which complicated provision during pandemic facilitators pandemic. literature highlighted two special populations, female sex workers pregnant females, as having unique challenges due societal stigma their personalized needs. Reviewed indicate that introduced exacerbated accessibility, affordability This should be used workers, administrators, policymakers, government better understand current gaps service which can support future public emergencies.

Language: Английский

“COVID-19 affected me greatly (sigh), imagine I'm being called a mother and yet I'm also a child”: the effect of COVID-19 on fertility management practices among women in Nairobi and Kisumu cities, Kenya DOI Creative Commons
Zachary Kwena, Pauline Wekesa, Serah Gitome

et al.

Frontiers in Global Women s Health, Journal Year: 2025, Volume and Issue: 6

Published: Feb. 24, 2025

The COVID-19 pandemic strained the provision of sexual and reproductive health services, including family planning, which were categorized as non-essential services at peak infection control in Kenya. We set out to assess effect on fertility management practices among Kenyan women two cities inform mitigation measures future similar disruptions. This was a qualitative study describe women's from 61 in-depth interviews (IDIs) with aged 15-45 years residing Nairobi Kisumu, Kenya, between February May 2021. Identified participants consented interviewed convenient locations. used constant comparative analysis that compared emergent themes across topics transcripts identify group those are or dissimilar arrive insights informed our conclusions. Our findings show affected individual, interpersonal, organizational levels. At individual level, lack money due COVID-19-induced economic difficulties made planning unaffordable women. Other delayed their conception plans until financial situation improved. interpersonal travel restrictions separated couples, making it challenging for who had conceive actualize plans. Additionally, reported be sexually inactive relaxed adherence contraceptive use schedule because reduced risk unintended pregnancy. Finally, provider shortages, long queues, stockouts during compromised access services. also found minority either not using contraceptives long-acting methods perceived little no practices. COVID-19's manifested There is need devise strategies empower deal needs make healthcare systems resilient enough handle effects crises without compromising existing

Language: Английский

Citations

0
Real-Life Pregnancy and HIV Care at an Outpatient Clinic in Mexico from 2008 to 2022, Including the COVID-19 Pandemic DOI

Uri Torruco-García,

Diana Abarca de Santos,

Susana Irene García-Solano

et al.

Published: Jan. 1, 2024

Background: Information on the real life outpatient care of pregnant women diagnosed with HIV in Mexico is scant. The purpose this study was to describe clinical characteristics who received an center Xalapa, Veracruz, during 2008 2022, including COVID-19 pandemic.Methods: This non-concurrent cohort included data from positive patients (n=86) were attended at for prevention and AIDS sexually transmitted infections (CAPASITS) Mexico. Demographic characteristics, place residence, pertinent pregnancy-related variables such as number pregnancies, prenatal consultations, obstetric complications, well those diagnosis, use antiretroviral medication, delivery method, treatment newborns tests results described.Findings: Among before pregnancy, 33 out 37 already receiving ARVT beginning follow-up, 18 them had a viral load less than 200 copies/ml their initial load. Raltegravir most frequently used third component, often paired tenofovir/emtricitabine. In worst case scenario, MTCT 4.8%, opposite which lost cases removed analysis, would be 0.Interpretation: risk vertical transmission remained very low over 14-year period México, pandemia.Funding: Gilead Sciences de México supported publication grant editorial services.Declaration Interest: UTG has payments speaker topics Gilead, GSK, Jhonson & Jhonson. AIPR, DAS, SIGS have no conflicts interest declare.Ethical Approval: conducted according Helsinki Declaration World Medical Association. protocol approved by Research Committee Hospital. As presented de-identified and, thus, did not contain any personal identifiers, it exempt approval ethical committee.

Language: Английский

Citations

0
Impacts of the COVID-19 pandemic on HIV care and treatment services among adolescents attending a tertiary hospital in Dar es Salaam, Tanzania: a qualitative study DOI Creative Commons
Eva Kidabulo, Lilian Nkinda, Dorkasi L. Mwakawanga

et al.

BMJ Public Health, Journal Year: 2024, Volume and Issue: 2(1), P. e000935 - e000935

Published: July 1, 2024

The COVID-19 pandemic has caused substantial disruption on HIV care and treatment programmes, especially for adolescents living with (ALHIV) who are known to have poorer health outcomes compared adults. Efforts made overcome the pre-existing challenges were hampered by emergence of which interrupted adolescent-friendly healthcare services. Therefore, aim this study was assess impacts services from providers adolescents' experiences at a tertiary hospital in Dar es Salaam, Tanzania. A descriptive qualitative using in-depth interviews conducted 17 participants. Purposive convenient sampling techniques used recruit adolescents, respectively. Swahili semistructured interview guide conduct interviews. Thematic analysis generate themes subthemes describing effects brought among adolescents. revealed that alteration approach delivery limited human non-human resources facilities during decreased effectiveness quality resulted adolescent's poor adherence medication loss follow-up. Loss family income, food insecurity socialisation posed threat mental overall life. Our findings underscore its immediate responses significantly affected adolescent Reinforcement sustainable ALHIV programmes funding supports these essential promote retention engagement pandemics.

Language: Английский

Citations

0
The impact of the COVID-19 pandemic on HIV healthcare delivery for females in sub-Saharan Africa: A scoping review DOI Creative Commons
Rita Kothari, Robert W. Baran, Paulina Rudziak

et al.

PLOS Global Public Health, Journal Year: 2024, Volume and Issue: 4(12), P. e0002975 - e0002975

Published: Dec. 5, 2024

Throughout sub-Saharan Africa (SSA), females are disproportionately impacted by HIV and face generalized but also gendered social economic barriers to accessing healthcare services. At the outset of pandemic, many anticipated COVID-19 would represent a major set-back for care in region. The impact on health services HIV-affected populations has been reported specific not synthesized SSA objective this scoping review is investigate delivery SSA. Four databases were searched identify relevant studies. Studies included limited English primary research articles reporting interactions between amongst Two pairs reviewers each screened 1390 via abstract full-text screening, data extraction was facilitated with standardized protocol. A total 39 studies review. Through thematic analysis articles, we identified five themes—accessibility, availability, affordability, clinical barriers, psychosocial barriers—which complicated provision during pandemic facilitators pandemic. literature highlighted two special populations, female sex workers pregnant females, as having unique challenges due societal stigma their personalized needs. Reviewed indicate that introduced exacerbated accessibility, affordability This should be used workers, administrators, policymakers, government better understand current gaps service which can support future public emergencies.

Language: Английский

Citations

0