Interruptions to HIV Care Delivery During Pandemics and Natural Disasters: A Qualitative Study of Challenges and Opportunities From Frontline Healthcare Providers in Western Kenya.

Journal: Journal of the International Association of Providers of AIDS Care

Volume: 22

Issue: 

Year of Publication: 2023

Affiliated Institutions:  Department of Pharmacy Practice, Temple University School of Pharmacy, Philadelphia, PA, USA. Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MA, USA. The Academic Model Providing Access to Healthcare, Eldoret, Kenya. Department of Mental Health & Behavioral Sciences, Moi University School of Medicine, Eldoret, Kenya. Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA. Department of Health Services, Policy & Practice, Brown University School of Public Health, Providence, RI, USA.

Abstract summary 

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.

Authors & Co-authors:  Tran Ching Kafu Wachira Koros Venkataramani Said Pastakia Galárraga Genberg

Study Outcome 

Source Link: Visit source

Statistics
Citations :  Organization WH. Third round of the global pulse survey on continuity of essential health services during the COVID-19 pandemic: November–December 2021. 2022. February 7, 2022. https://www.who.int/publications/i/item/WHO-2019-nCoV-EHS_continuity-survey-2022.1
Authors :  10
Identifiers
Doi : 23259582231152041
SSN : 2325-9582
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
Pandemics;community-based care;differentiated care;natural disasters;social determinants of health
Study Design
Study Approach
Country of Study
Kenya
Publication Country
United States