关键词: COVID-19 HIV Interpretive phenomenological PMTCT services approaches innovative

来  源:   DOI:10.4102/hsag.v29i0.2553   PDF(Pubmed)

Abstract:
UNASSIGNED: During the coronavirus disease 2019 (COVID-19) pandemic, there was a reduction in access to prevention of mother-to-child transmission (PMTCT) of human Immunodeficiency virus (HIV) services globally, yet this programme is critical for reducing paediatric HIV incidence. To minimise the impact of COVID-19 and prevent disruptions to the PMTCT service provision, innovative strategies had to be developed and implemented.
UNASSIGNED: The study aimed to describe the approaches that were developed and utilised during the COVID-19 pandemic in enhancing PMTCT services in Tshwane primary healthcare facilities.
UNASSIGNED: Three primary healthcare facilities that were providing PMTCT services during the COVID-19 pandemic located in the Tshwane district, Gauteng province, South Africa.
UNASSIGNED: The study is part of a larger study that focused on the experiences of healthcare workers who were rendering PMTCT services during the COVID-19 pandemic. An interpretative phenomenological analysis (IPA) design was employed to gain insight into the experiences of 16 purposively sampled healthcare workers who were providing PMTCT services during the pandemic in Tshwane district facilities. In-depth individual audio-recorded interviews were conducted with study participants, following a semi-structured interview guide. Data analysis was performed using an IPA framework.
UNASSIGNED: Three superordinate themes emerged: strategies utilised for providing care, community-based initiatives, and support systems to enhance the PMTCT service access.
UNASSIGNED: Strengthening community-based initiatives and support systems is important for the enhancement of the PMTCT programme during and beyond the pandemic.
UNASSIGNED: Community-based initiatives are critical in continuity of PMTCT services, reducing HIV incidence, under-five child morbidity and mortality particularly during emergency situations.
摘要:
在2019年冠状病毒病(COVID-19)大流行期间,在全球范围内,预防人类免疫缺陷病毒(HIV)母婴传播(PMTCT)服务的机会减少,然而,该计划对于减少儿科艾滋病毒发病率至关重要。为了最大限度地减少COVID-19的影响,并防止对PMTCT服务提供的干扰,必须制定和实施创新战略。
该研究旨在描述在COVID-19大流行期间开发和使用的方法,以增强Tshwane基层医疗机构的PMTCT服务。
在COVID-19大流行期间提供PMTCT服务的三个初级医疗机构位于茨瓦内地区,豪登省,南非。
该研究是一项更大研究的一部分,该研究的重点是在COVID-19大流行期间提供PMTCT服务的医护人员的经验。采用了解释性现象学分析(IPA)设计,以深入了解16名针对性采样的医护人员的经验,这些医护人员在Tshwane地区的大流行期间提供PMTCT服务。对研究参与者进行了深入的个人录音访谈,遵循半结构化面试指南。使用IPA框架进行数据分析。
出现了三个上级主题:用于提供护理的策略,基于社区的倡议,和支持系统,以增强PMTCT服务的访问。
加强基于社区的倡议和支持系统对于在大流行期间和之后加强PMTCT计划非常重要。
基于社区的举措对于PMTCT服务的连续性至关重要,减少艾滋病毒的发病率,五岁以下儿童的发病率和死亡率,特别是在紧急情况下。
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