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The evolving challenges confronting adults living with HIV in three North African countries during the COVID-19

Ahmed Cordie1,2, Mohamed AbdAllah3, Eman El Desouky4

  • 1Endemic Medicine Department, Faculty of Medicine, Cairo University, Cairo 11212, Egypt.

Transactions of the Royal Society of Tropical Medicine and Hygiene
|October 22, 2021
PubMed

Insights

The COVID-19 pandemic negatively impacted people living with HIV in North Africa, disrupting access to care and antiretroviral therapy. Innovative strategies are needed to maintain essential HIV services during health crises.

Area of Science:

  • Public Health
  • Infectious Diseases
  • HIV/AIDS Research

Background:

  • COVID-19 has strained healthcare systems globally, particularly affecting chronic illness management like HIV.
  • North Africa faces unique challenges in providing care for people living with HIV (PLHIV) during the pandemic.

Purpose of the Study:

  • To evaluate the challenges faced by adult PLHIV in North Africa during the COVID-19 crisis.
  • To assess PLHIV's awareness of COVID-19 non-pharmaceutical preventive measures.

Main Methods:

  • An online survey was conducted among adult PLHIV in three North African countries.
  • Snowball sampling and social media dissemination were used to recruit participants and distribute a modified questionnaire.

Main Results:

  • High adherence to COVID-19 preventive measures was reported (e.g., facemasks 83.2%).
  • Limited access to care (41.9%) and reduced adherence to antiretroviral therapy (8.4%) were significant challenges.
  • Older age (≥60 years) and second-line HIV treatment were associated with access to care challenges.

Conclusions:

  • The COVID-19 pandemic has had an adverse effect on PLHIV in North Africa.
  • There is a critical need for innovative strategies to ensure the continuity of HIV services.
Abstract

Keywords:
AwarenessCOVID-19ChallengesDelivery of careHIVPreventive measures

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