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Factors associated with ART interruption during the COVID-19 crisis in Burundi (the EPIC community-based research

Annabelle Niyongabo1,2, Virginie Villes3, Rokhaya Diagne4

  • 1Community-based Research Laboratory, Coalition PLUS, Dakar, Sénégal. aniyongabo@coalitionplus.org.

Scientific Reports
|June 8, 2024
PubMed

Insights

COVID-19 disrupted HIV services in Burundi, causing 11.7% of people living with HIV (PLHIV) to interrupt antiretroviral therapy (ART). Key factors included fewer follow-ups and forced disclosure, while multi-month ART dispensing and clear communication helped prevent interruptions.

Area of Science:

  • Public Health
  • Epidemiology
  • HIV/AIDS Research

Background:

  • Burundi's national HIV prevalence is 0.9%, nearing UNAIDS 2025 targets.
  • Crises periodically disrupt HIV health services in Burundi.
  • The COVID-19 pandemic posed a significant threat to ongoing HIV care.

Purpose of the Study:

  • To assess the impact of the COVID-19 crisis on antiretroviral therapy (ART) interruption among people living with HIV (PLHIV) in Burundi.
  • To identify factors associated with ART interruption during the pandemic.

Main Methods:

  • A community-based program (EPIC) surveyed 317 PLHIV in three cities (Oct-Nov 2021).
  • Convenience sampling was used for participant recruitment.
  • Logistic regression models identified factors associated with ART interruption.

Main Results:

  • 11.7% of respondents (37/317) reported ART interruption.
  • Key populations represented 79.2% of respondents.
  • ART interruption was linked to fewer HIV medical follow-ups (aOR=7.80) and forced HIV status disclosure (aOR=4.10).
  • Multi-month ART dispensing (aOR=0.36) and perceived adequate COVID-19 risk communication (aOR=0.11) were associated with lower interruption rates.

Conclusions:

  • Multi-month ART dispensing is crucial for maintaining treatment adherence during crises.
  • Enhanced communication from healthcare providers about pandemic risks is vital.
  • Voluntary HIV status disclosure support systems are important for preventing ART interruption.

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