Clinical Sciences Department, Nigerian Institute of Medical Research, Yaba, Lagos State, Nigeria.
College of Medicine, University of Ibadan, Oyo State, Nigeria.
West Afr J Med. 2022 Jul 31;39(7):703-707.
The SARS-CoV-2 pandemic has ravaged the world with significant implications on the socio-economic and health status of individuals. Several measures were put in place to curtail the pandemic especially movement restrictions. The effect of this pandemic and the restriction measures could further compound the health needs of PLWHA. This study thus described the trend in access to HIV/AIDS care services before and during the COVID-19 induced lockdown and the possible consequences on their treatment outcome.
A secondary analysis of client data was carried out at the HIV clinic of the Nigerian Institute of Medical Research. The sociodemographic and clinical data [type of ART, duration on ART, clinical services 3-months before and during the COVID-19 induced Lockdown] were extracted from the electronic medical records. Data obtained was analyzed using the SPSS version 22.0.
The median age of PLWHA was 45 years (IQR: 39-51), with the predominant age group being 25-49 years (65.4%). The majority were females (68.7%), married (59.5%), had at least secondary education (82.8%), and employed (81.5%). The median duration on ART was 102 months (IQR: 67-138) with the majority on non-Protease Inhibitor based regimen (77.7%). In the 3 months before the lockdown, there was an increase in drug pick-up of approximately 25% over the booked appointment compared to a decline of 40% when the lockdown was enacted.
The significant decline in drug pick-up during the SARS-CoV-2 pandemic raises the need for measures to ensure continued access to drugs and care among PLWHA.
SARS-CoV-2 大流行对个人的社会经济和健康状况造成了重大影响。为了遏制大流行，特别是限制人员流动，采取了多项措施。这场大流行和限制措施的影响可能会进一步加剧 PLWHA 的健康需求。因此，本研究描述了 COVID-19 大流行期间和大流行期间之前获得艾滋病毒/艾滋病护理服务的趋势，以及这对他们的治疗结果可能产生的影响。
在尼日利亚医学研究所的艾滋病毒诊所进行了客户数据的二次分析。从电子病历中提取社会人口统计学和临床数据[ART 类型、接受 ART 的时间、COVID-19 大流行期间和之前的 3 个月的临床服务]。使用 SPSS 版本 22.0 分析获得的数据。
PLWHA 的中位年龄为 45 岁（IQR：39-51），主要年龄组为 25-49 岁（65.4%）。大多数是女性（68.7%）、已婚（59.5%）、至少接受过中等教育（82.8%）和就业（81.5%）。中位 ART 持续时间为 102 个月（IQR：67-138），大多数人采用非蛋白酶抑制剂为基础的方案（77.7%）。在封锁前的 3 个月里，与预约相比，取药量增加了约 25%，而封锁实施后取药量下降了 40%。
在 SARS-CoV-2 大流行期间，取药量显著下降，这就需要采取措施，确保 PLWHA 能够继续获得药物和护理。
