Bibliographic Details
| Title: |
Assessing the resilience of HIV healthcare services provided to adolescents and young adults after the COVID-19 pandemic in the city of Beira (Mozambique): an interrupted time series analysis. |
| Authors: |
Benoni, Roberto1,2,3 (AUTHOR) roberto.benoni90@gmail.com, Cavallin, Francesco4 (AUTHOR), Casigliani, Virginia2,5 (AUTHOR), Zin, Annachiara1 (AUTHOR), Giannini, Dara2 (AUTHOR), Chaguruca, Izilda2 (AUTHOR), Cinturao, Vasco2 (AUTHOR), Chinene, Fernando2 (AUTHOR), Brigadoi, Giulia1 (AUTHOR), Donà, Daniele1 (AUTHOR), Putoto, Giovanni6 (AUTHOR), Giaquinto, Carlo1 (AUTHOR) |
| Source: |
AIDS Research & Therapy. 5/9/2024, Vol. 21 Issue 1, p1-9. 9p. |
| Subject Terms: |
*PSYCHOLOGICAL resilience, *PATIENT compliance, *HEALTH services accessibility, *ANTIRETROVIRAL agents, *RESEARCH funding, *MEDICAL care, *HIV infections, *CONTINUUM of care, *RETROSPECTIVE studies, *DESCRIPTIVE statistics, *TIME series analysis, *LONGITUDINAL method, *MEDICAL records, *ACQUISITION of data, *MEDICAL appointments, *DRUGS, *COVID-19 pandemic, *ADOLESCENCE |
| Geographic Terms: |
MOZAMBIQUE |
| Abstract: |
Background: The COVID-19 pandemic has put the provision of health services globally at risk. In Sub-Saharan Africa, it had a major impact on HIV services. However, there is a lack of data on the post-pandemic period. This study aims to evaluate the resumption of HIV services and retention in care for adolescents and young people in the period following the COVID-19 pandemic. Methods: A retrospective cohort study was conducted using interrupted time series analysis. Three periods were considered: pre-pandemic (form June 2019 to March 2020), pandemic (form April 2020 to March 2022) post-pandemic (from April 2022 to March 2023). Six outcome measures were considered: number of outpatient visits, HIV tests, HIV positivity ratio, the antiretroviral treatment (ART) non-adherence ratio, recall ratio, and the return ratio for adolescent and young adults on ART. Results: During the study period, 447,515 outpatient visits and 126,096 HIV tests were recorded. After a reduction at the beginning of the pandemic period, both visits and tests increased during the pandemic (p < 0.05) and decreased in the post-pandemic (p < 0.05), recovering the pre-pandemic trends. The HIV positivity ratio slightly decreased from 3.3% to 1.7% during the study period (p < 0.05). The ART non-adherence ratio decreased from 23.4% to 2.4% throughout the study period (p < 0.05), with a drop at the beginning of the post-pandemic period (p < 0.05). The recall ratio increased during the study period (p < 0.05) with a drop at the beginning of the pandemic and post-pandemic periods (p < 0.05). The return ratio decreased at the beginning of the pandemic (p < 0.05) but returned to the pre-pandemic ratio in the post-pandemic period. Conclusions: The post-pandemic values of the investigated outcomes were comparable to pre-pandemic period, or even improved. Differently from other services, such as the community activities, that have been severely affected by COVID-19 pandemic, the HIV service system has shown resilience following emergency situation. [ABSTRACT FROM AUTHOR] |
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