"Life mapping" exploring the lived experience of COVID-19 on access to HIV treatment and care in Malawi.

Journal: Gates open research

Volume: 8

Issue: 

Year of Publication: 2025

Affiliated Institutions:  University of Cape Town, Rondebosch, Western Cape, , South Africa. International Treatment Preparedness Coalition, Johannesburg, , South Africa.

Abstract summary 

The COVID-19 pandemic in Malawi exacerbated, existing public health challenges including access to HIV treatment and care services. "Life Mapping," a component of the Citizen Science community-led project in Malawi, documented the lived experiences and perspectives of people living with HIV in the context of COVID-19.Citizen Science Life Maps is a three-year qualitative, longitudinal project utilizing collaborative and participatory research methods through digital storytelling to document peoples' daily lives. Twenty participants living with HIV were recruited between 2022 and 2023 in two central regional districts of Malawi and two urban areas. The participants were given mobile smart phones to document the impact of COVID-19 on HIV prevention and treatment services, HIV treatment literacy, mental health and the COVID -19 vaccine. Data was analyzed using a thematic analysis approach.Access to HIV prevention and treatment slowly recovered yet introducing multi-month anti- retroviral dispensing raised concerns. In the absence of mental health care services, participants were resourceful in seeking alternative ways to deal with mental health. However, state sponsored violence in relation to COVID-19 public health measures impacted negatively not only on mental well-being but also on HIV treatment adherence. Whilst most recognized the importance of the COVID-19 vaccine, especially for people living with HIV, myths, misinformation, and conspiracy theories around the vaccine persisted especially religious themed misinformation.The relationship between misinformation and COVID-19 vaccine hesitancy is complex and medical and scientific approaches may not be sufficient to prevent misinformation. Fear and misinformation are likely attributed to global uncertainty during the pandemic and the speed at which vaccines were developed with minimal opportunity to prepare global communities.

Authors & Co-authors:  Harries Jane J Zolowere Ruby T RT Zokwana Khokhelwa K Lauer Krista K Bozinovski Jelena J Baptiste Solange L SL

Study Outcome 

Source Link: Visit source

Statistics
Citations :  The Global Fund to Fight Malaria Tuberculosis and AIDS: The impact of COVID-19 on HIV, TB and malaria services and systems for health. Geneva,2021. Reference Source
Authors :  6
Identifiers
Doi : 70
SSN : 2572-4754
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
COVID-19;HIV treatment;Malawi;Participatory Research;Qualitative Research
Study Design
Longitudinal Study
Study Approach
Country of Study
Publication Country
United States