乌干达中部艾滋病毒诊所在COVID-19封锁限制期间如何适应以促进持续获得护理的机会:定性分析
Norma C Ware1,2, Monique A Wyatt3,4, Emily E Pisarski3
1Division of Global Health Equity, Department of Medicine, Brigham & Women's Hospital, 75 Francis St., Boston, MA, 02115, USA. norma_ware@hms.harvard.edu.
AIDS and behavior
|June 2, 2023
概括
乌干达中部的艾滋病毒诊所通过提供多个月的补充和社区分娩来适应COVID-19的限制,确保持续获得抗逆转录病毒疗法 (ART) 和暴露前预防 (PrEP). 服务用户和服务提供商是这些成功适应的关键.
科学领域:
- 公共卫生 公共卫生
- 艾滋病毒/艾滋病研究研究
- 加强卫生系统 加强卫生系统
背景情况:
- 由于COVID-19大流行,全球的封锁令全球的医疗保健服务严重受损.
- 保持获得抗逆转录病毒疗法 (ART) 和暴露前预防 (PrEP) 的机会对于预防和治疗艾滋病毒至关重要.
- 了解在危机期间提供艾滋病毒护理的适应性对于卫生系统的弹性至关重要.
研究的目的:
- 探索乌干达中部艾滋病毒诊所在COVID-19封锁限制期间如何适应服务提供.
- 确定持续获得艾滋病毒治疗的障碍和促进者,特别是ART和PrEP补充剂.
- 突出卫生保健提供者和服务用户在适应艾滋病毒服务方面的作用.
主要方法:
- 使用合作伙伴PrEP计划 (PPP) 数据进行的定性研究.
- 与艾滋病毒阳性夫妇 (N=42) 和医疗保健提供者 (N=36) 进行了64次个人采访.
- 在封锁期间使用了关于ART/PrEP访问的采访数据的诱导性,以内容为中心的分析.
主要成果:
- 关键障碍包括收入损失,运输成本增加,诊所人员减少和身体距离.
- 促进者包括多个月的ART/PrEP补充,临床"离家近"访问,提供者运输和邻里补充送货.
- 获得PrEP的机会面临着独特的挑战,例如有限的社区交付和预填充HIV检测要求.
结论:
- 乌干达的HIV服务用户和提供者在COVID-19封锁期间在维持ART/PrEP接入方面表现出显著的适应能力.
- 多个月的分发和基于社区的交付模式对于服务的连续性至关重要.
- 承认服务用户和提供者是适应的驱动力,对于未来的卫生系统弹性研究和规划至关重要.
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