China-Australia Joint Research Center for Infectious Diseases, School of Public Health, Xi'an Jiaotong University Health Science Center, Xi'an, China.
College of Health Science, Salale University, Fiche, Ethiopia.
Front Public Health. 2022 Nov 3;10:1033351. doi: 10.3389/fpubh.2022.1033351. eCollection 2022.
BACKGROUND: HIV services were inevitably disrupted and affected due to COVID-19. There are many challenges in implementing appropriate HIV services, particularly in the provision of health care and the link between people living with HIV/AIDS and retention in care. The study investigated the impact of COVID-19 on HIV services and the anticipated benefit of the COVID-19 vaccination on HIV service restoration in North Shewa, Oromia, Ethiopia. METHODS: A qualitative descriptive study approach was used to explore how healthcare delivery evolved during the outbreak of COVID-19 in Ethiopia. Sixteen antiretroviral therapy (ART) clinics were selected from 13 districts and one administrative town in Ethiopia. From them, 32 ART providers were purposively selected based on their experience in ART provision. Data were collected from June to July 2021 using in-depth interviews. A thematic analysis approach was used to analyze the data, based on themes and subthemes emerging from the data. ATLAS.ti software was used for coding. RESULTS: Healthcare for people living with HIV was interrupted due to the COVID-19 pandemic. Medical appointments, HIV testing and counseling services, opportunistic infection treatment, medicine supply, and routine viral load and CD T-cell count tests were interrupted. Due to a shortage of healthcare staff, outreach testing services and home index testing were discontinued and HIV testing was limited only to hospitals and health centers. This has substantially affected accessibility to HIV testing and reduced the quality of HIV service delivery. Telehealth and less frequent visits to health facilities were used as alternative ways of delivering HIV services. The COVID-19 vaccination campaign is expected to restore healthcare services. Vaccination may also increase the confidence of healthcare providers by changing their attitudes toward COVID-19. CONCLUSIONS: The COVID-19 pandemic has substantially impacted HIV services and reduced the quality of HIV care in Ethiopia. Health facilities could not provide routine HIV services as they prioritize the fight against COVID-19, leading to an increase in service discontinuation and poor adherence.
背景：由于 COVID-19 的影响，艾滋病毒服务不可避免地受到干扰和影响。在实施适当的艾滋病毒服务方面存在许多挑战，特别是在提供医疗保健以及艾滋病毒感染者和艾滋病患者与护理保留之间的联系方面。本研究调查了 COVID-19 对艾滋病毒服务的影响，以及 COVID-19 疫苗接种对埃塞俄比亚北谢瓦恢复艾滋病毒服务的预期益处。
方法：采用定性描述性研究方法，探讨 COVID-19 在埃塞俄比亚爆发期间医疗保健服务的演变。从埃塞俄比亚的 13 个区和一个行政镇中选择了 16 个抗逆转录病毒治疗 (ART) 诊所。在此基础上，根据在提供 ART 方面的经验，有针对性地选择了 32 名 ART 提供者。数据收集于 2021 年 6 月至 7 月，使用深入访谈。采用主题分析方法对数据进行分析，根据数据中出现的主题和子主题进行分析。使用 ATLAS.ti 软件进行编码。
结果：由于 COVID-19 大流行，艾滋病毒感染者的医疗服务受到干扰。医疗预约、艾滋病毒检测和咨询服务、机会性感染治疗、药物供应以及常规病毒载量和 CD T 细胞计数检测均中断。由于医疗保健工作人员短缺，外展检测服务和家庭指数检测已停止，艾滋病毒检测仅限于医院和保健中心。这极大地影响了艾滋病毒检测的可及性，并降低了艾滋病毒服务的质量。远程医疗和减少前往卫生机构的次数被用作提供艾滋病毒服务的替代方式。预计 COVID-19 疫苗接种运动将恢复医疗服务。疫苗接种也可能通过改变他们对 COVID-19 的态度来增强医疗保健提供者的信心。
结论：COVID-19 大流行对艾滋病毒服务产生了重大影响，并降低了埃塞俄比亚艾滋病毒护理的质量。由于卫生机构优先考虑抗击 COVID-19，因此无法提供常规艾滋病毒服务，导致服务中断和依从性差增加。
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