Department of Community Medicine, 77131MVJ Medical College and Research Hospital, Hoskote, Karnataka, India.
Department of Community Medicine, 29031Government Medical College, Surat, Gujarat, India.
J Int Assoc Provid AIDS Care. 2022 Jan-Dec;21:23259582221084885. doi: 10.1177/23259582221084885.
In India, the nationwide lockdown was implemented from March to May 2020 due to COVID-19 pandemic. As of March 2020, there were 13.08 lakh PLHIV availing ART free of cost from Government run ART centres, To maintain the continuum of care, National AIDS Control Programme (NACP) of India adopted Multi Months Dispensation (MMD) through ART centres and Community Dispensation of ART through the various Targeted Interventions (TI) and Community Based Organizations (CBO). A mixed methods study was designed, with desk review of programmatic data, semi qualitative interviews of 250 PLHIV and 15 In-Depth Interviews of ART centre and TI/CBO staff to document the process, strengths and challenges of these strategies in Surat city of South Gujarat. While administrative, technical and networking strengths were documented, manpower constraints, interrupted laboratory services, migration and relatively passive role of PLHIV in availing services were major challenges described in this study among several others.
在印度，由于 COVID-19 大流行，全国范围内的封锁从 2020 年 3 月至 5 月实施。截至 2020 年 3 月，有 130.8 万艾滋病毒感染者从政府运营的艾滋病治疗中心免费获得抗逆转录病毒治疗。为了保持护理的连续性，印度国家艾滋病控制计划（NACP）通过艾滋病治疗中心采用了多月份配给（MMD），并通过各种目标干预（TI）和社区为艾滋病治疗提供配给通过社区组织（CBO）。本研究采用混合方法设计，对方案数据进行桌面审查，并对 250 名艾滋病毒感染者进行半定性访谈，对艾滋病治疗中心和 TI/CBO 工作人员进行 15 次深入访谈，以记录这些策略在古吉拉特邦南部苏拉特市的实施过程、优势和挑战。虽然记录了行政、技术和网络优势，但劳动力短缺、实验室服务中断、移民以及艾滋病毒感染者在获得服务方面相对被动的角色等是本研究中描述的其他几个主要挑战。
