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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Intersecting Epidemics: The Predictors of Continued Utilization of HIV Care and Treatment Services During the COVID-19 Outbreak Among People Living with HIV in ZIMBABWE
AIDS and Behavior, Year 2023
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Description
Globally, there have been considerable achievements towards HIV care and treatment. AIDS-related deaths have been reduced by 60% since the peak in 2004. Potentially, the fight against the HIV epidemic was made more difficult with the outbreak of COVID-19. Thus, this study examined the implications of COVID-19 in the utilization of HIV care and treatment services among people living with HIV on antiretroviral therapy (ART) in Zimbabwe. The study aimed to identify the critical factors defining the utilization of HIV services at the advent of COVID-19 using the fifth revision of the Anderson Behavioral Model of Healthcare Utilization. The study utilized a concurrent triangulation design of which only one data collection phase was used. The quantitative data was collected from 2,157 people living with HIV on antiretroviral viral therapy through a structured interviewer-administered questionnaire. On the other hand, qualitative data was collected through in-depth interviews. Regarding accessing ART refills, the study findings revealed that adolescents aged 15–19 (aOR = 2.16; 95% CI: 1.18–3.96) had higher odds of utilizing ART refills compared to their counterparts who were aged 20–24. Living in a rural area was associated with higher odds of utilizing the ART refill service (aOR = 2.20; 95% CI: 1.49–3.24). Regarding accessing viral load monitoring adults aged 25–39 (aOR = 0.41; 95% CI: 0.26–0.66) were less likely to utilize viral load monitoring compared to young people aged 20–24. Being vaccinated for COVID-19 was significantly associated with higher odds of utilizing the viral load monitoring service (aOR = 1.97; 95% CI: 1.36–2.87) than those not yet vaccinated. Living in a rural area was associated with higher odds of utilizing viral load monitoring (aOR = 1.50; 95% CI: 1.09–2.08). Regarding tuberculosis preventative therapy, adults aged 25–39 (aOR = 0.30; 95% CI: 0.20–0.47) were less likely to utilize tuberculosis preventative therapy compared to young people aged 20–24. Being vaccinated for COVID-19 was significantly associated with higher odds of utilizing tuberculosis preventative therapy (aOR = 1.59; 95% CI: 1.12–2.25) than those not yet vaccinated. Living in a rural area was associated with higher odds of utilizing tuberculosis preventive therapy (aOR = 1.58; 95% CI: 1.19–2.08). Regarding tuberculosis screening being vaccinated for COVID-19 was significantly associated with higher odds of utilizing tuberculosis screening services (aOR = 1.89; 95% CI: 1.41–2.54) than those not yet vaccinated. Although the severity of the COVID-19 pandemic has dwindled, COVID-19 appears to come and go in waves, and a few countries are still recording relatively high cases. It is therefore likely that the factors associated with utilization of HIV services identified by the study such as age, residence, type of health facility, vaccination of COVID-19 and fear of contracting COVID-19, among others, need to be included when planning to improve access to health utilization. © 2023, This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply.
Authors & Co-Authors
Tapera, Talent
South Africa, Johannesburg
University of the Witwatersrand
Odimegwu, Clifford Obby
South Africa, Johannesburg
University of the Witwatersrand
Makoni, Tatenda
Zimbabwe, Harare
Zimbabwe National Network of People Living with Hiv Znnp+
Mukuwapasi, Waraidzo
Zimbabwe, Harare
Zimbabwe National Network of People Living with Hiv Znnp+
Chitiyo, Vivian
Zimbabwe, Harare
Zvandiri
Willis, Nicola
Zimbabwe, Harare
Zvandiri
Mutsinze, Abigail
Zimbabwe, Harare
Zvandiri
Mawodzeke, Mather
Zimbabwe, Harare
Zvandiri
Chimberengwa, Pugie Tawanda
Zimbabwe, Harare
Organisation for Public Health Interventions and Development Ophid
Phiri, Million
South Africa, Johannesburg
University of the Witwatersrand
Zambia, Lusaka
University of Zambia
Statistics
Authors: 10
Affiliations: 5
Identifiers
Doi:
10.1007/s10461-023-04194-x
ISSN:
10907165
Research Areas
Covid
Health System And Policy
Infectious Diseases
Study Design
Grounded Theory
Study Approach
Qualitative
Quantitative
Mixed-methods
Study Locations
Zimbabwe