在缅甸COVID-19大流行期间,艾滋病毒护理服务中断:分析常规计划数据的结果 2018-2022年
Myat Khaing1, Sein Lwin2, Naw Paw1
1Strategic Information Division, Population Services International, Yangon City, Myanmar.
Journal of the International Association of Providers of AIDS Care
|December 9, 2024
概括
由于COVID-19大流行,缅甸的艾滋病毒服务中断,影响了抗逆转录病毒疗法 (ART) 保留和病毒载量 (VL) 测试. 位置和入学时间等因素影响了结果,强调了危机期间需要持续的艾滋病毒护理的需要.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 随着COVID-19的流行,全球艾滋病毒查,检测和管理发生了重大破坏.
- 尽管采取了在线预订和宣传活动等适应性措施,但对缅甸私人艾滋病毒护理诊所的影响仍未得到审查.
研究的目的:
- 描述COVID-19大流行之前,期间和之后缅甸艾滋病毒相关服务的变化.
- 确定影响抗逆转录病毒疗法 (ART) 保留和病毒载量 (VL) 测试的因素.
主要方法:
- 从8个地区的43个医疗保健机构 (2018-2022) 分析艾滋病毒指标.
- 检查艾滋病毒检测,阳性病例,ART保留率,VL检测和抑制率在两种临床道在不同的流行病阶段.
- 利用单变量和多变量考克斯比例危险和后勤回归模型来识别影响因素.
主要成果:
- 艾滋病毒检测波动,在大流行期间,一个道下降了28.2%,另一个道增加了8.1%,随后总体下降.
- 抗逆转录病毒疗法 (ART) 的保留率在12个月内有所下降,道之间的6个月和12个月率有所变化.
- 病毒载量 (VL) 测试在危机期间显著下降,特别是在一个道,尽管VL抑制在测试时仍然很高 (>91%).
- 影响ART保留的因素包括居住地点,COVID-19期间,二线ART使用和患者人口统计.
- VL测试与没有结核病相关,是MSM,PWIDs,并在Channel 2寻求护理.
结论:
- 由于COVID-19大流行,缅甸的ART保留和VL测试中断了.
- 必须保持基本的艾滋病毒服务,解决基于患者人口统计,诊所类型,ART入学期和地点的确定的差距.
- 了解影响因素对于改善危机期间的艾滋病毒治疗和确保治疗结果的一致性至关重要.
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