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    Impact of the First Wave of the COVID-19 Pandemic on HIV/AIDS Programming in Kenya: Evidence from Kibera Informal Settlement and COVID-19 Hotspot Counties

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    ijerph-18-06009.pdf (774.0Kb)
    Publication Date
    2023-01
    Authors
    Muhula, Samuel
    Oramisi, Violet
    Opanga, Yvonne
    Ngugi, Catherine
    Ngunu, Caroline
    Carter, Jane
    Marita, Enock
    Show More
    (7 total)
    Editors
    Norris, Keith C.
    Brown, Arleen F.
    Thorpe, Roland J.
    Type
    Article, Journal
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    Citation

    Muhula, S., Opanga, Y., Oramisi, V., Ngugi, C., Ngunu, C., Carter, J., Marita, E., et al. (2021). Impact of the First Wave of the COVID-19 Pandemic on HIV/AIDS Programming in Kenya: Evidence from Kibera Informal Settlement and COVID-19 Hotspot Counties. International Journal of Environmental Research and Public Health, 18(11), 6009. MDPI AG. Retrieved from http://dx.doi.org/10.3390/ijerph18116009

    Abstract/Overview

    The study sought to determine the impact of COVID-19 on HIV/AIDS programming in the Kibera informal settlement and COVID-19 hotspot counties during the first wave of the pandemic. The study was conducted in two phases. The first phase entailed the analysis of HIV care and treatment secondary data (2018–2020) from the Kenya Health Information System. In the second phase, a prospective cohort study was conducted among people living with HIV in the Kibera informal settlement. A total of 176 participants aged 18 years and above accessing HIV services at selected healthcare facilities in Kibera were randomly sampled from facility electronic medical records and followed up for three months. Socio-demographics and contact details were abstracted from the records and telephone interviews were conducted with consenting participants. Results from the retrospective review of HIV program data indicated a 56% (p < 0.000, 95% CI: 31.3%–62.8%) reduction in uptake of HIV services. Clients starting antiretroviral therapy (ART) reduced significantly by 48% (p < 0.001, 95% CI: 35.4%–77%) in hotspot counties. However, pre-exposure prophylaxis uptake increased significantly by 24% (p < 0.019, 95% CI: 4%–49%). In Kibera, 14% reported missing medications at the onset of the COVID-19 pandemic because of lack of food (38%) and government measures (11%), which affected ART access; 11% did not access health facilities due to fear of contracting COVID-19, government regulations and lack of personal protective equipment. Socioeconomic factors, food insecurity and government measures affected uptake of HIV/AIDS services; hence, the need for scaling up measures to increase access to HIV/AIDS services during the onset of pandemics.

    Subject/Keywords
    COVID-19; HIV/AIDS; antiretroviral therapy; personal protective equipment; food security; pre-exposure prophylaxis; lockdown measures
    Further Details

    (This article belongs to the Special Issue COVID-19 and Health Inequities: Opportunities, Challenges, and Future Directions)

     

    This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited

     
    Publisher
    MDPI
    ISSN
    1660-4601
    Permalink
    https://repository.amref.ac.ke/handle/123456789/292
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    • General - GEN [355]

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