Impact of the COVID-19 pandemic on young people living with HIV in Lesotho: a qualitative study.

Journal: BMJ public health

Volume: 2

Issue: 1

Year of Publication: 

Affiliated Institutions:  Keele University, Keele, UK. Mamohato Children's Centre, Maseru, Lesotho. National AIDS Commission, Maseru, Lesotho. Primary Care and Health Sciences, Keele University, Keele, UK. Sentebale London, London, UK.

Abstract summary 

There is a growing body of research evidencing the detrimental impact of the COVID-19 pandemic on the mental health and well-being of young people. This impact may be worse in low-resource settings, especially those in sub-Saharan Africa, where pandemic impacts may be exacerbated by poverty, limited healthcare access and other health epidemics including HIV. We explored the COVID-19 pandemic impacts on young people living with HIV in Lesotho to understand the experiences of HIV management, well-being, financial stability and education status.Thirty-one semistructured, face-to-face interviews were conducted with young people aged 15-19 years of age living with HIV from eight districts across Lesotho. Interviews were conducted in Sesotho, audio-recorded, later transcribed and translated to English prior to analysis. Analysis consisted of a thematic analysis using principles of constant comparison to explore key and emerging themes.Analysis revealed five major themes: 'financial instability and food insecurity', 'challenges to health and well-being', 'changing relationship dynamics', 'loss of educational opportunities' and 'understanding the threat of COVID-19'.While participants discussed being able to access antiretroviral therapy, this study highlights the significant impact of the COVID-19 pandemic and associated lockdown measures on the mental health and well-being, financial stability and educational development of young people living with HIV in Lesotho.

Authors & Co-authors:  Shepherd Thomas T Robinson Michelle E ME Ramaema Maema M Rakuoane Moraoetsi M Moletsane Ntoli N Mpholo Rafiloe R Mallen Christian C Leigh Graham G

Study Outcome 

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Statistics
Citations :  Bell IH, Nicholas J, Broomhall A, et al. The impact of COVID-19 on youth mental health: a mixed methods survey. Psychiatry Res. 2023;321:115082. doi: 10.1016/j.psychres.2023.115082.
Authors :  8
Identifiers
Doi : e000414
SSN : 2753-4294
Study Population
Male,Female
Mesh Terms
Other Terms
COVID-19;HIV;Public Health
Study Design
Study Approach
Qualitative
Country of Study
Lesotho
Publication Country
England