@article{10.11648/j.hep.20230804.14,
  author = {Diop Cheikh Tacko and Gueye Boubacar and Martial Coly Bop and Diop Mansour Bouna and Leye Mamadou Mactar Mbacké and Ka Ousseynou},
  title = {Continuity of HIV-Related Care in the Central Districts of Senegal During the COVID-19 Pandemic Period Between March 2020 and February 2021},
  journal = {International Journal of Health Economics and Policy},
  volume = {8},
  number = {4},
  pages = {112-116},
  doi = {10.11648/j.hep.20230804.14},
  url = {https://doi.org/10.11648/j.hep.20230804.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.hep.20230804.14},
  abstract = {The HIV /AIDS pandemic is a major public health problem. COVID-19 infection has impacted the national health system. It was deemed necessary to study the continuity of HIV-related services in Senegal. An analytical cross-sectional study was conducted. The study populations were represented by all PLHIV who joined the active queue between March 2020 and February 2021. A multi-stage survey was conducted at the district level. Univariate and multivariate analyses were carried out using the SPSS version 2022 software. The mean age of patients was 43.38 years ±13.22. More than half of PLHIV were educated (53.13%) and married (55.47%) with a majority of the female sex 66.41%. Among the respondents, 66.13% were engaged in income-generating activities, of which 86.42% were in the informal sector. More than half of the respondents 67.50% had a monthly income of less than 55,000 FCFA. Television was the main source of information (51.56%). Almost all PLHIV (96.88%) had continued to seek counselling services. The majority (93.55%) had performed at least one follow-up para-clinical assessment with an average delay of 7.54±8.64 months. More than half (71.55%) of PLHIV were very satisfied with the follow-up consultation and assessment services offered. Among the 85 PLHIV surveyed, (9.41%) were pregnant or had given birth within the last 12 months. PLHIV for whom COVID-19 negatively impacted the continuity of services accounted for 16.41%. The discontinuity of HIV care services was higher in male subjects with an adjusted OR 4.61 [1.58-13.51]. Subjects who had no income-generating activity were at greater risk of experiencing care service discontinuity with an adjusted OR 3.13 [1.10-9.23]. The results of this work suggest to health authorities to reorganize the health system and adopt a policy based on the community approach and to populations to overcome the "fear of COVID-19".
},
 year = {2023}
}

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TY  - JOUR
T1  - Continuity of HIV-Related Care in the Central Districts of Senegal During the COVID-19 Pandemic Period Between March 2020 and February 2021
AU  - Diop Cheikh Tacko
AU  - Gueye Boubacar
AU  - Martial Coly Bop
AU  - Diop Mansour Bouna
AU  - Leye Mamadou Mactar Mbacké
AU  - Ka Ousseynou
Y1  - 2023/11/09
PY  - 2023
N1  - https://doi.org/10.11648/j.hep.20230804.14
DO  - 10.11648/j.hep.20230804.14
T2  - International Journal of Health Economics and Policy
JF  - International Journal of Health Economics and Policy
JO  - International Journal of Health Economics and Policy
SP  - 112
EP  - 116
PB  - Science Publishing Group
SN  - 2578-9309
UR  - https://doi.org/10.11648/j.hep.20230804.14
AB  - The HIV /AIDS pandemic is a major public health problem. COVID-19 infection has impacted the national health system. It was deemed necessary to study the continuity of HIV-related services in Senegal. An analytical cross-sectional study was conducted. The study populations were represented by all PLHIV who joined the active queue between March 2020 and February 2021. A multi-stage survey was conducted at the district level. Univariate and multivariate analyses were carried out using the SPSS version 2022 software. The mean age of patients was 43.38 years ±13.22. More than half of PLHIV were educated (53.13%) and married (55.47%) with a majority of the female sex 66.41%. Among the respondents, 66.13% were engaged in income-generating activities, of which 86.42% were in the informal sector. More than half of the respondents 67.50% had a monthly income of less than 55,000 FCFA. Television was the main source of information (51.56%). Almost all PLHIV (96.88%) had continued to seek counselling services. The majority (93.55%) had performed at least one follow-up para-clinical assessment with an average delay of 7.54±8.64 months. More than half (71.55%) of PLHIV were very satisfied with the follow-up consultation and assessment services offered. Among the 85 PLHIV surveyed, (9.41%) were pregnant or had given birth within the last 12 months. PLHIV for whom COVID-19 negatively impacted the continuity of services accounted for 16.41%. The discontinuity of HIV care services was higher in male subjects with an adjusted OR 4.61 [1.58-13.51]. Subjects who had no income-generating activity were at greater risk of experiencing care service discontinuity with an adjusted OR 3.13 [1.10-9.23]. The results of this work suggest to health authorities to reorganize the health system and adopt a policy based on the community approach and to populations to overcome the "fear of COVID-19".

VL  - 8
IS  - 4
ER  - 

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