Departments of Pediatrics and Biostatistics, Epidemiology and Informatics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Children's Hospital of Philadelphia Global Health Center, Philadelphia, USA.
AIDS Behav. 2023 May;27(Suppl 1):73-83. doi: 10.1007/s10461-022-03811-5. Epub 2022 Sep 12.
Members of the Adolescent HIV Prevention and Treatment Implementation Science Alliance (AHISA) network conduct research aiming to close gaps between what is known to be impactful across the HIV prevention and treatment cascade, and services delivered to optimize outcomes for adolescents/young adults (AYA) in high HIV-prevalence settings. The COVID-19 pandemic introduced new challenges which threaten to exacerbate care and access disparities. We report results of a survey among AHISA teams with active AYA HIV research programs in African countries to determine how the pandemic has impacted their efforts. Results highlighted the detrimental impact of the pandemic on research efforts and the expanded need for implementation research to help provide evidence-based, context-specific pandemic recovery support. Key lessons learned included the viability of remote service delivery strategies and other innovations, the need for adaptive systems that respond to evolving contextual needs, and the need for organized documentation plans, within empathic and flexible environments.
青少年艾滋病预防和治疗实施科学联盟(AHISA)网络的成员开展研究,旨在弥合艾滋病预防和治疗领域已被证明具有影响力的措施与在高艾滋病毒流行地区为青少年/青年提供的服务之间的差距,以优化结果。COVID-19 大流行带来了新的挑战,有可能加剧护理和获得服务方面的差距。我们报告了一项针对在非洲国家开展青少年艾滋病研究项目的 AHISA 团队的调查结果,以确定大流行对他们的努力产生了怎样的影响。结果突出表明,大流行对研究工作产生了不利影响,并且需要开展更多实施研究,以提供基于证据的、特定于具体情况的大流行恢复支持。总结的经验教训包括远程服务提供战略和其他创新的可行性、需要适应不断变化的背景需求的适应性系统,以及需要在有同理心和灵活的环境中制定有组织的文件计划。