National AIDS Council of Zimbabwe, Harare, Zimbabwe.
Zimbabwe National Network of People Living with HIV, Harare, Zimbabwe.
Afr J AIDS Res. 2022 Jul;21(2):194-200. doi: 10.2989/16085906.2022.2103004.
The COVID-19 pandemic was reported from March 2020 in Zimbabwe. COVID-19 containment measures which included repeated lockdowns have disrupted community interactions, reduced working hours, restricted travel and restricted HIV services for people living with HIV (PLHIV), among others. The study adopted a cross-sectional design. Both qualitative and quantitative data were collected in all the 10 provinces and analysed. A sample size of 480 was calculated for the cross-sectional survey. Secondary data on HIV early warning indicators from 2018 to 2021 were extracted from 20 randomly selected health facilities and used for modelling. Mathematical modelling was conducted to assess the impact of COVID-19 on PLHIV. AIDS-related deaths increased from 20 100 in 2019 to 22 200 in 2020. In addition, there were significant years of life lost (yLLs) from premature mortality and years of life lost due to disability (yLDs) from COVID-19. Prevalence of COVID-19 among PLHIV was 4%. COVID-19 vaccination coverage was 64%, which is higher than the national average of 42%. Stress and breach of confidentiality as ARV medicines were given out in open spaces and fear of contracting COVID-19 were the perceived psychological issues. COVID-19 disrupted HIV service provision, increased AIDS-related deaths and caused psychological challenges.
2020 年 3 月，津巴布韦报告出现 COVID-19 疫情。COVID-19 防控措施包括多次封锁，扰乱了社区互动，减少了工作时间，限制了旅行，并限制了艾滋病毒感染者（PLHIV）的艾滋病毒服务等。本研究采用了横断面设计。在所有 10 个省份都收集了定性和定量数据并进行了分析。横断面调查的样本量计算为 480。从 20 个随机选择的卫生机构提取了 2018 年至 2021 年 HIV 早期预警指标的二级数据，并用于建模。进行了数学建模以评估 COVID-19 对 PLHIV 的影响。艾滋病相关死亡人数从 2019 年的 20100 人增加到 2020 年的 22200 人。此外，由于 COVID-19 导致的过早死亡而损失了大量的生命年（yLLs）和因残疾而损失的生命年（yLDs）。PLHIV 中 COVID-19 的患病率为 4%。COVID-19 疫苗接种率为 64%，高于全国平均水平的 42%。在露天场所分发抗逆转录病毒药物时出现的压力和保密性问题以及担心感染 COVID-19 是被认为存在的心理问题。COVID-19 扰乱了艾滋病毒服务的提供，增加了艾滋病相关死亡人数，并带来了心理挑战。
