Evaluating the Impact of the COVID-19 Pandemic on Accessing HIV Services in South Africa: A Systematic Review

被引:17
|
作者
Jardim, Claudia Goncalves Rebelo [1 ]
Zamani, Reza [1 ]
Akrami, Mohammad [2 ]
机构
[1] Univ Exeter, Coll Med & Hlth, Med Sch, Exeter EX1 2LU, Devon, England
[2] Univ Exeter, Dept Engn, Exeter EX4 4QF, Devon, England
关键词
HIV services; COVID-19; pandemic; South Africa; primary health care; public health; ART; epidemiology; access; systematic review; HEALTH-CARE; LOCKDOWN;
D O I
10.3390/ijerph191911899
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Progress has been made towards controlling the Human Immunodeficiency Virus (HIV) epidemic in South Africa. However, the emergence of coronavirus disease 2019 (COVID-19) has disrupted access to health care. This systematic review aims to evaluate the impact of the pandemic on accessing HIV services at a primary health care (PHC) level in South Africa. HIV services that have been significantly impacted are highlighted, and recommendations for future public health emergencies are made. Three databases were searched in January 2022. The studies included were those that reported on HIV services at a PHC level in South Africa. From the searches, 203 papers were identified, of which 34 full texts were screened. Eleven studies met the inclusion criteria and were included in this review. Overall, decreases in HIV testing, positive HIV tests, and initiation of antiretroviral therapy (ART) were reported. Resilience of ART provision was reported, meaning that adherence to treatment was sustained throughout the pandemic. The findings showed that HIV services at private PHC facilities were unaffected, however, an overall decrease in HIV services at public PHC facilities was reported, excluding antenatal care which showed resilience.
引用
收藏
页数:23
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