Barsukova Alla, Shvab Maria, Puttkammer Nancy H, Vitruk Olga, Ihnatiuk Alyona P, Hetman Larisa I, McDowell Misti R, Collins Pamela Y, Shapoval Anna Y
International Training and Education Center for Health (I-TECH), Kyiv, Ukraine.
International Training and Education Center for Health (I-TECH), Department of Global Health, University of Washington, Seattle, WA, USA.
AIDS Care. 2024 Mar 26:1-9. doi: 10.1080/09540121.2024.2332445.
The 2022 Russian invasion of Ukraine has caused serious challenges for healthcare workers (HCWs) and HIV-related healthcare services. This study assessed the effects of the invasion on HCWs wellbeing and on continuity of HIV services, using in-depth interviews with HCWs from facilities offering HIV antiretroviral therapy (ART) and pre-exposure prophylaxis (PrEP) services in the Donetsk region of Eastern Ukraine. A directed content analysis, with both inductive and deductive approaches, was conducted. Ten HCWs (6 [60%] doctors, 4 [40%] nurses; 9 [90%] female) were interviewed. Six respondents were displaced from their homes and worksites, and all described stress and threats to emotional wellbeing. HCWs used online consultations, encrypted mobile communication, and multi-month dispensing to support continuity of ART and PrEP services. They noted immediate needs for psychological and financial support, and access to laptop computers and mobile communications to ensure continuity of HIV services. Priorities for restoration of services include repair of health facilities, restoration of laboratory services and supply chains, and return of personnel and patients. HCWs made innovative, rapid adaptations to HIV services to keep ART and PrEP services running, demonstrating the resolve of Ukrainian HCWs to maintain continuity of HIV services despite the disruptions of war.
2022年俄罗斯对乌克兰的入侵给医护人员和艾滋病相关医疗服务带来了严峻挑战。本研究通过对乌克兰东部顿涅茨克地区提供抗逆转录病毒疗法（ART）和暴露前预防（PrEP）服务机构的医护人员进行深入访谈，评估了此次入侵对医护人员福祉以及艾滋病服务连续性的影响。采用归纳法和演绎法进行了定向内容分析。共访谈了10名医护人员（6名[60%]医生，4名[40%]护士；9名[90%]为女性）。6名受访者被迫离开家园和工作场所，所有人都描述了压力以及对情绪健康的威胁。医护人员利用在线咨询、加密移动通信和数月配药来支持ART和PrEP服务的连续性。他们指出，迫切需要心理和经济支持，以及获得笔记本电脑和移动通信设备以确保艾滋病服务的连续性。恢复服务的优先事项包括修复卫生设施、恢复实验室服务和供应链，以及人员和患者的回归。医护人员对艾滋病服务进行了创新、快速的调整，以维持ART和PrEP服务的运转，展现了乌克兰医护人员在战争干扰下维持艾滋病服务连续性的决心。
