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Impact of COVID-19 on the Utilization of HIV Testing and Linkage Services in Sierra Leone: Experience from Three Public Health Facilities in Freetown.
Lakoh, Sulaiman; Bangura, Moses M; Adekanmbi, Olukemi; Barrie, Umu; Jiba, Darlinda F; Kamara, Matilda N; Sesay, Daniel; Jalloh, Abdulai Tejan; Deen, Gibrilla F; Russell, James B W; Egesimba, Ginika; Yendewa, George A; Firima, Emmanuel.
Afiliación
  • Lakoh S; College of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra Leone.
  • Bangura MM; Government of Sierra Leone, Ministry of Health and Sanitation, Freetown, Sierra Leone.
  • Adekanmbi O; Sustainable Health Systems Sierra Leone, Freetown, Sierra Leone.
  • Barrie U; College of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra Leone.
  • Jiba DF; Department of Medicine, College of Medicine, University of Ibadan, Ibadan, Nigeria.
  • Kamara MN; Department of Medicine, University College Hospital, Ibadan, Nigeria.
  • Sesay D; Infectious Disease Research Network, Freetown, Sierra Leone.
  • Jalloh AT; Government of Sierra Leone, Ministry of Health and Sanitation, Freetown, Sierra Leone.
  • Deen GF; College of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra Leone.
  • Russell JBW; Government of Sierra Leone, Ministry of Health and Sanitation, Freetown, Sierra Leone.
  • Egesimba G; Government of Sierra Leone, Ministry of Health and Sanitation, Freetown, Sierra Leone.
  • Yendewa GA; College of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra Leone.
  • Firima E; Government of Sierra Leone, Ministry of Health and Sanitation, Freetown, Sierra Leone.
AIDS Behav ; 28(4): 1235-1243, 2024 Apr.
Article en En | MEDLINE | ID: mdl-37642824
The COVID-19 pandemic adversely affected the delivery of essential health services globally. In this study, we aimed to assess the impact of the pandemic on HIV testing and linkage services at three public health facilities in Freetown, Sierra Leone. We conducted a retrospective study to assess the impact of COVID-19 on HIV testing and linkage to treatment services (HTS) at Connaught Hospital (CH-tertiary), Lumley Government Hospital (LGH-secondary) and George Brooke Community Health Center (GBC-primary) in Freetown. Statistical analyses were conducted in Stata (16.1, StataCorp LLC, College Station, TX). Intra-pandemic HTS (2020) and HTS during recovery (2021) were compared with pre-pandemic HTS (2019). Of the 8538 people tested for HIV in the three facilities, 4929 (57.5%) visited CH. Only 2249 people were tested for HIV in 2020 compared to 3825 in 2019 (difference: - 41.2%, P < 0.001). Fewer people were also tested in 2021 (difference: - 35.6% P < 0.001). The largest reductions in testing in 2020 occurred in women (- 47.7%), children under 15 (- 95.2%), married people (- 42.6%), and CH (- 46.2%). Overall, 1369 (16.0%) people were positive for HIV; CH (878, 17.9%), LGH (469, 15.6%) and GBC (22, 3.5%). The likelihood of a positive HIV test was 26% lower in 2020 than 2019 (PR 0.74; 95% CI 0.64-0.85; P < 0.001), but 16% higher in 2021 than 2019 (PR 1.16; 95% CI 1.03-1.30; P < 0.05). Of the 1369 HIV diagnosis, 526 (38.4%) were linked to care. We found significant disruptions in HIV testing and linkage services at different levels of service delivery during the COVID-19 pandemic, underscoring the need to strengthen essential health services during public health emergencies.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones por VIH / COVID-19 Tipo de estudio: Observational_studies Aspecto: Implementation_research Límite: Child / Female / Humans País/Región como asunto: Africa Idioma: En Revista: AIDS Behav Asunto de la revista: CIENCIAS DO COMPORTAMENTO / SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Año: 2024 Tipo del documento: Article País de afiliación: Sierra Leona Pais de publicación: Estados Unidos
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones por VIH / COVID-19 Tipo de estudio: Observational_studies Aspecto: Implementation_research Límite: Child / Female / Humans País/Región como asunto: Africa Idioma: En Revista: AIDS Behav Asunto de la revista: CIENCIAS DO COMPORTAMENTO / SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Año: 2024 Tipo del documento: Article País de afiliación: Sierra Leona Pais de publicación: Estados Unidos