PDF(Pubmed)
Abstract：
Adolescents living with HIV (ALHIVs) are considered a priority population in the fight against HIV, requiring dedicated services. The COVID-19 pandemic and subsequent disruptions deprived ALHIVs on antiretroviral therapy (ART) of the care and social support essential for treatment adherence and positive treatment outcomes. This study describes health managers\' and healthcare workers\' responses to the impact of COVID-19 on service delivery to ALHIVs in HIV treatment in the Cape Town Metropole. A descriptive qualitative design was employed, where semi-structured individual interviews (n = 13) were conducted with senior and programme managers as well as healthcare workers between April and October 2023. Inductive thematic analysis was performed using Atlas.ti version 23. Two main themes emerged from these interviews: \"HIV service delivery to adolescents during the COVID-19 pandemic\" and \"Lessons learnt-the way forward\". The de-escalation of health services at primary health facilities and the disruption of HIV services resulted in disengagement from care by ALHIVs, increasing mental health and treatment challenges. This warrants the restoration of psychosocial support services and the re-engagement of ALHIVs. The findings from this study can function as a guide for health systems and healthcare providers to navigate future pandemics to ensure that vulnerable populations such as ALHIVs continue to receive care and treatment.
摘要：
青少年感染艾滋病毒（ALHIVs）被认为是抗击艾滋病毒的优先人群。需要专门的服务。COVID-19大流行和随后的中断剥夺了接受抗逆转录病毒治疗(ART)的ALHIVs获得治疗依从性和积极治疗结果所必需的护理和社会支持。这项研究描述了卫生管理人员和医护人员对COVID-19对开普敦大都会地区艾滋病毒治疗中ALHIVs服务提供影响的反应。采用了描述性的定性设计，在2023年4月至10月期间，对高级管理人员和计划管理人员以及医护人员进行了半结构化个人访谈（n=13）。使用Atlas进行归纳主题分析。TI版本23。这些访谈中出现了两个主要主题：“在COVID-19大流行期间向青少年提供艾滋病毒服务”和“吸取的教训-前进的道路”。初级保健设施保健服务的降级和艾滋病毒服务的中断导致ALHIV脱离护理，心理健康和治疗挑战不断增加。这保证了社会心理支持服务的恢复和ALHIVs的重新参与。这项研究的结果可以为卫生系统和医疗保健提供者提供指导，以应对未来的大流行，以确保ALHIVs等弱势群体继续接受护理和治疗。
