PDF(Pubmed)
Abstract：
UNASSIGNED: COVID-19 has rapidly spread across the world. In March 2020, shortly after the first confirmed case of COVID-19 in Ethiopia in March 2020, the government of Ethiopia took several measures.
UNASSIGNED: This study aims to explore how stay-at-home orders during the COVID-19 pandemic hinder engagement with HIV/AIDS care in public hospitals in Southwest Ethiopia. Additionally, we aim to explore the psychosocial challenges faced in accessing services during stay-at-home orders.
UNASSIGNED: A descriptive qualitative study was conducted from 20 May to 3 June 2020, using semi-structured, in-depth interviews. In total, 27 study participants were recruited from purposively selected people living with HIV/AIDS (PLWHA) who had experienced delays, declines, or discontinuation of care after COVID-19 was confirmed in Ethiopia on 13 March 2020. The participants were interviewed over the phone and their responses were audio-recorded. Data were transcribed verbatim, translated, and analyzed using inductive thematic analysis in the Atlas ti.7.1 software package.
UNASSIGNED: The main themes and sub-themes that emerged were psychosocial issues (such as depression, hopelessness, and fear), risk perception (including high risk, susceptibility, and severity), forceful enforcement of stay-at-home orders (such as police beatings, community leaders disgracing, and influence of families and relatives), socioeconomic factors (such as stigma, religion, and transportation costs), misinformation about COVID-19 (such as lockdowns and ART stock-outs), and healthcare factors (such as inadequate health information and long distances to healthcare facilities).
UNASSIGNED: Overall, these findings were similar to the challenges experienced by PLWHA in adhering to the recommended continuum of care. However, there are additional factors due to COVID-19, such as misinformation and the forceful implementation of the stay-at-home-orders, that impede the continuum of care. Therefore, it is important to strengthen information, education, and communication.
UNASSIGNED: This study aims to explore how stay-at-home orders during the COVID-19 pandemic hinder engagement with HIV/AIDS care in public hospitals in Southwest Ethiopia. Additionally, we aim to explore the psychosocial challenges faced in accessing services during stay-at-home orders.
UNASSIGNED: A descriptive qualitative study was conducted from 20 May to 3 June 2020, using semi-structured, in-depth interviews. In total, 27 study participants were recruited from purposively selected people living with HIV/AIDS (PLWHA) who had experienced delays, declines, or discontinuation of care after COVID-19 was confirmed in Ethiopia on 13 March 2020. The participants were interviewed over the phone and their responses were audio-recorded. Data were transcribed verbatim, translated, and analyzed using inductive thematic analysis in the Atlas ti.7.1 software package.
UNASSIGNED: The main themes and sub-themes that emerged were psychosocial issues (such as depression, hopelessness, and fear), risk perception (including high risk, susceptibility, and severity), forceful enforcement of stay-at-home orders (such as police beatings, community leaders disgracing, and influence of families and relatives), socioeconomic factors (such as stigma, religion, and transportation costs), misinformation about COVID-19 (such as lockdowns and ART stock-outs), and healthcare factors (such as inadequate health information and long distances to healthcare facilities).
UNASSIGNED: Overall, these findings were similar to the challenges experienced by PLWHA in adhering to the recommended continuum of care. However, there are additional factors due to COVID-19, such as misinformation and the forceful implementation of the stay-at-home-orders, that impede the continuum of care. Therefore, it is important to strengthen information, education, and communication.
摘要：
■COVID-19在世界各地迅速传播。2020年3月，在2020年3月埃塞俄比亚第一例确诊病例后不久，埃塞俄比亚政府采取了多项措施。
本研究旨在探讨COVID-19大流行期间的居家订单如何阻碍埃塞俄比亚西南部公立医院参与艾滋病毒/艾滋病护理。此外,我们的目标是探讨在居家服务期间获得服务所面临的心理社会挑战。
■一项描述性定性研究于2020年5月20日至6月3日进行，使用半结构化，深入采访。总的来说,27名研究参与者从有目的地选择的艾滋病毒/艾滋病感染者（PLWHA）中招募，他们经历了延误，下降，2020年3月13日在埃塞俄比亚确认COVID-19后或停止治疗。通过电话采访了参与者，并对他们的回答进行了录音。数据被逐字转录，翻译,并使用Atlasti.7.1软件包中的归纳主题分析进行分析。
■出现的主要主题和子主题是社会心理问题（例如抑郁症，绝望,和恐惧)，风险感知(包括高风险、易感性，和严重性)，强制执行呆在家里的命令(如警察殴打，社区领袖丢脸，以及家庭和亲戚的影响)，社会经济因素(如污名，宗教,和运输成本)，关于COVID-19的错误信息(如封锁和ART缺货)，和医疗保健因素(如健康信息不足和距离医疗机构较远)。
■总的来说，这些发现与PLWHA在坚持推荐的连续治疗方面遇到的挑战相似.然而,由于COVID-19，还有其他因素，例如错误信息和强制执行留在家中的命令，阻碍护理的连续性。因此,重要的是加强信息，教育,和沟通。
本研究旨在探讨COVID-19大流行期间的居家订单如何阻碍埃塞俄比亚西南部公立医院参与艾滋病毒/艾滋病护理。此外,我们的目标是探讨在居家服务期间获得服务所面临的心理社会挑战。
■一项描述性定性研究于2020年5月20日至6月3日进行，使用半结构化，深入采访。总的来说,27名研究参与者从有目的地选择的艾滋病毒/艾滋病感染者（PLWHA）中招募，他们经历了延误，下降，2020年3月13日在埃塞俄比亚确认COVID-19后或停止治疗。通过电话采访了参与者，并对他们的回答进行了录音。数据被逐字转录，翻译,并使用Atlasti.7.1软件包中的归纳主题分析进行分析。
■出现的主要主题和子主题是社会心理问题（例如抑郁症，绝望,和恐惧)，风险感知(包括高风险、易感性，和严重性)，强制执行呆在家里的命令(如警察殴打，社区领袖丢脸，以及家庭和亲戚的影响)，社会经济因素(如污名，宗教,和运输成本)，关于COVID-19的错误信息(如封锁和ART缺货)，和医疗保健因素(如健康信息不足和距离医疗机构较远)。
■总的来说，这些发现与PLWHA在坚持推荐的连续治疗方面遇到的挑战相似.然而,由于COVID-19，还有其他因素，例如错误信息和强制执行留在家中的命令，阻碍护理的连续性。因此,重要的是加强信息，教育,和沟通。
