European Institute of Public Health Policy, Kyiv, Ukraine.
Ukrainian Institute on Public Health Policy, Kyiv, Ukraine.
J Int Assoc Provid AIDS Care. 2024 Jan-Dec;23:23259582241277649. doi: 10.1177/23259582241277649.
Ukraine faced significant fluctuations in COVID-19 morbidity and mortality, alongside an escalating HIV epidemic. This mixed-methods study, conducted between February and August 2022, employed a sequential explanatory design combining a quantitative analysis of national data and qualitative interviews to investigate the pandemic's effects on HIV services in Ukraine. The observed trends confirmed that the pandemic significantly disrupted facility-based HIV testing due to logistical challenges, an increased burden on healthcare workers, and supply shortages. Meanwhile, community-based testing showed resilience, largely attributed to programmatic adjustments rather than the pandemic itself. The initiation of antiretroviral therapy declined, especially during initial lockdowns, reflecting diminished treatment capacities. Despite these challenges, telemedicine and home medication delivery innovations supported antiretroviral therapy adherence. Furthermore, improvements in viral load testing and suppression rates showed healthcare resilience. The study highlights the critical need for adaptable, sustainable healthcare strategies in crises, emphasized during the war with Russia.
乌克兰面临着 COVID-19 发病率和死亡率的显著波动，以及艾滋病疫情的不断升级。这项混合方法研究于 2022 年 2 月至 8 月进行，采用了一种顺序解释设计，结合了对国家数据的定量分析和定性访谈，以调查大流行对乌克兰艾滋病服务的影响。观察到的趋势证实，由于后勤挑战、医护人员负担增加和供应短缺，大流行严重扰乱了基于机构的 HIV 检测。与此同时，基于社区的检测表现出了弹性，这主要归因于方案调整，而不是大流行本身。抗逆转录病毒治疗的启动减少了，特别是在最初的封锁期间，反映出治疗能力下降。尽管面临这些挑战，但远程医疗和家庭送药创新支持了抗逆转录病毒治疗的依从性。此外，病毒载量检测和抑制率的提高显示出医疗保健的弹性。该研究强调了在危机中需要灵活、可持续的医疗保健策略，这在与俄罗斯的战争中得到了强调。
