The impact of the COVID-19 pandemic on people living with HIV in Zimbabwe.

IF 1.1 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Ajar-African Journal of Aids Research Pub Date : 2022-07-01 DOI:10.2989/16085906.2022.2103004

Bernard Madzima, Tatenda Makoni, Owen Mugurungi, Godfrey Mudariki, Amon Mpofu, Freeman Dube, Lameck Munangaidzwa, Isaac Taramusi

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引用次数: 3

Abstract

The COVID-19 pandemic was reported from March 2020 in Zimbabwe. COVID-19 containment measures which included repeated lockdowns have disrupted community interactions, reduced working hours, restricted travel and restricted HIV services for people living with HIV (PLHIV), among others. The study adopted a cross-sectional design. Both qualitative and quantitative data were collected in all the 10 provinces and analysed. A sample size of 480 was calculated for the cross-sectional survey. Secondary data on HIV early warning indicators from 2018 to 2021 were extracted from 20 randomly selected health facilities and used for modelling. Mathematical modelling was conducted to assess the impact of COVID-19 on PLHIV. AIDS-related deaths increased from 20 100 in 2019 to 22 200 in 2020. In addition, there were significant years of life lost (yLLs) from premature mortality and years of life lost due to disability (yLDs) from COVID-19. Prevalence of COVID-19 among PLHIV was 4%. COVID-19 vaccination coverage was 64%, which is higher than the national average of 42%. Stress and breach of confidentiality as ARV medicines were given out in open spaces and fear of contracting COVID-19 were the perceived psychological issues. COVID-19 disrupted HIV service provision, increased AIDS-related deaths and caused psychological challenges.

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2019冠状病毒病大流行对津巴布韦艾滋病毒感染者的影响。

津巴布韦从2020年3月开始报告了COVID-19大流行。包括多次封锁在内的2019冠状病毒病防控措施扰乱了社区互动，减少了工作时间，限制了旅行，限制了为艾滋病毒感染者提供的艾滋病毒服务等。本研究采用横断面设计。收集所有10个省的定性和定量数据并进行分析。横断面调查的样本量为480人。从20个随机选择的卫生机构中提取了2018年至2021年艾滋病毒预警指标的二级数据，并用于建模。采用数学模型评估COVID-19对PLHIV的影响。与艾滋病相关的死亡人数从2019年的20100人增加到2020年的22200人。此外，因COVID-19导致的过早死亡和残疾造成的生命损失年数也显著增加。PLHIV中COVID-19的患病率为4%。COVID-19疫苗接种覆盖率为64%，高于42%的全国平均水平。由于在露天场所发放抗逆转录病毒药物，压力和违反保密规定以及担心感染COVID-19是人们认为的心理问题。COVID-19扰乱了艾滋病毒服务的提供，增加了与艾滋病有关的死亡，并造成了心理挑战。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Ajar-African Journal of Aids Research 医学-公共卫生、环境卫生与职业卫生

CiteScore

1.80

自引率

8.30%

发文量

审稿时长

>12 weeks

期刊介绍： African Journal of AIDS Research (AJAR) is a peer-reviewed research journal publishing papers that make an original contribution to the understanding of social dimensions of HIV/AIDS in African contexts. AJAR includes articles from, amongst others, the disciplines of sociology, demography, epidemiology, social geography, economics, psychology, anthropology, philosophy, health communication, media, cultural studies, public health, education, nursing science and social work. Papers relating to impact, care, prevention and social planning, as well as articles covering social theory and the history and politics of HIV/AIDS, will be considered for publication.