Department of Pharmacy Practice, Temple University School of Pharmacy, Philadelphia, PA, USA.
The 430902Academic Model Providing Access to Healthcare, Eldoret, Kenya.
J Int Assoc Provid AIDS Care. 2023 Jan-Dec;22:23259582231152041. doi: 10.1177/23259582231152041.
During public health crises, people living with HIV (PLWH) may become disengaged from care. The goal of this study was to understand the impact of the COVID-19 pandemic and recent flooding disasters on HIV care delivery in western Kenya. We conducted ten individual in-depth interviews with HIV providers across four health facilities. We used an iterative and integrated inductive and deductive data analysis approach to generate four themes. First, increased structural interruptions created exacerbating strain on health facilities. Second, there was increased physical and psychosocial burnout among providers. Third, patient uptake of services along the HIV continuum decreased, particularly among vulnerable patients. Finally, existing community-based programs and teleconsultations could be adapted to provide differentiated HIV care. Community-centric care programs, with an emphasis on overcoming the social, economic, and structural barriers will be crucial to ensure optimal care and limit the impact of public health disruptions on HIV care globally.
在公共卫生危机期间，艾滋病毒感染者（PLWH）可能会脱离护理。本研究的目的是了解 COVID-19 大流行和最近的洪水灾害对肯尼亚西部提供艾滋病毒护理的影响。我们对四个卫生机构的十名艾滋病毒提供者进行了十次个人深入访谈。我们使用迭代和综合的归纳和演绎数据分析方法生成了四个主题。首先，结构中断的增加给卫生机构带来了更大的压力。其次，提供者的身体和心理疲惫感增加。第三，艾滋病毒连续护理服务的患者就诊率下降，特别是脆弱患者。最后，现有的基于社区的项目和远程咨询可以进行调整，以提供差异化的艾滋病毒护理。以社区为中心的护理方案，重点是克服社会、经济和结构障碍，对于确保全球最佳护理和限制公共卫生中断对艾滋病毒护理的影响至关重要。
