Sebati Betty, Phalane Edith, Bilankulu Amukelani, Phaswana-Mafuya Refilwe N
South African Medical Research Council/University of Johannesburg Pan African Centre for Epidemics, Research Extramural Unit (SAMRC/UJ PACER EMU), Faculty of Health Sciences, University of Johannesburg, Johannesburg, South Africa.
Anova Health Institute, Polokwane, South Africa.
South Afr J HIV Med. 2025 Apr 24;26(1):1670. doi: 10.4102/sajhivmed.v26i1.1670. eCollection 2025.
The provision of HIV treatment services was severely impacted by the COVID-19 pandemic and the subsequent lockdown measures, particularly among men who have sex with men (MSM), a population disproportionately affected by HIV.
To explore the service providers' perspectives on the barriers and facilitators of the HIV treatment services during the COVID-19 lockdown in Capricorn District, Limpopo province.
The study followed an exploratory design and was conducted in Capricorn District in Limpopo province. A purposive sample of 10 HIV treatment service providers were included in the study. An interview guide was developed using the Consolidated Framework for Implementation Research (CFIR) domains and associated constructs. The transcribed qualitative data were captured and analysed on Atlas.ti version 24.
The barriers included fear of COVID-19 transmission, movement restrictions during the initial phase of the lockdown period, target-driven performance pressure, lack of mobile clinics, and understaffing. The facilitators included teamwork among the various stakeholders in the programme, tailoring strategies to reach more MSM, partnerships and connections with the Department of Health and other relevant organisations.
The study revealed that the tailoring of the MSM programme facilitated access to HIV treatment services during COVID-19.
艾滋病病毒治疗服务的提供受到了新冠疫情及随后的封锁措施的严重影响，尤其是在男男性行为者（MSM）中，这一人群受艾滋病病毒的影响尤为严重。
探讨林波波省摩德柏区新冠疫情封锁期间服务提供者对艾滋病病毒治疗服务的障碍和促进因素的看法。
本研究采用探索性设计，在林波波省摩德柏区开展。研究纳入了10名艾滋病病毒治疗服务提供者的目的样本。使用实施研究综合框架（CFIR）领域及相关结构开发了一份访谈指南。转录后的定性数据在Atlas.ti 24版本上进行收集和分析。
障碍包括对新冠病毒传播的恐惧、封锁初期的行动限制、目标驱动的绩效压力、流动诊所的缺乏以及人员配备不足。促进因素包括项目中各利益相关者之间的团队合作、为接触更多男男性行为者而制定的策略、与卫生部及其他相关组织的伙伴关系和联系。
该研究表明，针对男男性行为者的项目调整有助于在新冠疫情期间获得艾滋病病毒治疗服务。
