乌克兰面临着COVID-19发病率和死亡率的大幅波动,伴随着不断升级的艾滋病毒流行病。这项混合方法研究,在2022年2月至8月间进行的,采用了序贯解释性设计,结合了国家数据的定量分析和定性访谈,以调查大流行对乌克兰艾滋病毒服务的影响。观察到的趋势证实,由于后勤挑战,大流行严重扰乱了基于设施的艾滋病毒检测,增加了医护人员的负担,和供应短缺。同时,基于社区的测试显示了韧性,主要归因于方案调整,而不是大流行本身。抗逆转录病毒疗法的开始下降,尤其是在最初的封锁期间,反映治疗能力下降。尽管面临这些挑战,远程医疗和家庭药物递送创新支持抗逆转录病毒治疗的依从性。此外,病毒载量测试和抑制率的改善显示了医疗保健弹性。这项研究强调了对适应性的关键需求,危机中的可持续医疗战略,在与俄罗斯的战争中强调。
COVID-19如何改变乌克兰的艾滋病毒护理:挑战,适应,和创新在最近的时代,乌克兰,像许多其他国家一样,一直在处理两大健康问题:COVID-19大流行和持续的艾滋病毒流行。到2022年初,欧洲报告的COVID-19病例超过1.04亿例,乌克兰面临着冠状病毒和日益严重的艾滋病毒危机,尤其是在老年人中,并通过各种方式传播。这项研究,在2022年2月至8月间完成的工作,旨在了解COVID-19大流行如何影响乌克兰的艾滋病毒服务。通过使用数字和对卫生官员的深入采访,服务提供商,和社区成员,在这个充满挑战的时期,我们调查了艾滋病毒护理的状况。我们的研究结果表明,大流行对艾滋病毒服务的影响是混合的。尽管发生了变化,但社区中进行的艾滋病毒检测仍设法进行调整并继续进行,医疗机构的服务遇到了许多问题。封锁和限制使人们很难到达这些地方,导致艾滋病毒检测的大幅下降和抗逆转录病毒治疗的开始,管理艾滋病毒的关键治疗方法。尽管面临这些挑战,有了重要的变化和新的想法。远程医疗和提供药物等服务已开始,以确保患者可以继续进行抗逆转录病毒治疗而没有任何中断。病毒载量测试,这对于检查艾滋病毒治疗的效果很重要,慢慢上升,展示了一个能够适应大流行压力的系统。在COVID-19大流行期间,乌克兰的一些艾滋病毒服务机构表现出了调整和持续的能力,这凸显了对医疗保健提供方法的需求,这些方法可以根据需要进行更改,并随着时间的推移而持续。这项研究指出了持续努力支持艾滋病毒感染者的重要性,尤其是在面临重大挑战时,并为在与俄罗斯的冲突等困难时期管理医疗服务提供了宝贵的经验教训。
Ukraine faced significant fluctuations in COVID-19 morbidity and mortality, alongside an escalating HIV epidemic. This mixed-methods study, conducted between February and August 2022, employed a sequential explanatory design combining a quantitative analysis of national data and qualitative interviews to investigate the pandemic\'s effects on HIV services in Ukraine. The observed trends confirmed that the pandemic significantly disrupted facility-based HIV testing due to logistical challenges, an increased burden on healthcare workers, and supply shortages. Meanwhile, community-based testing showed resilience, largely attributed to programmatic adjustments rather than the pandemic itself. The initiation of antiretroviral therapy declined, especially during initial lockdowns, reflecting diminished treatment capacities. Despite these challenges, telemedicine and home medication delivery innovations supported antiretroviral therapy adherence. Furthermore, improvements in viral load testing and suppression rates showed healthcare resilience. The study highlights the critical need for adaptable, sustainable healthcare strategies in crises, emphasized during the war with Russia.
How COVID-19 Changed HIV Care in Ukraine: Challenges, Adaptations, and Innovations In recent times, Ukraine, like many other countries, has been dealing with two big health problems: the COVID-19 pandemic and the ongoing HIV epidemic. With over 104 million cases of COVID-19 reported in Europe by early 2022, Ukraine faced the coronavirus as well as an increasing HIV crisis, especially among older adults and through various ways of spreading. This study, done between February and August 2022, aimed to understand how the COVID-19 pandemic affected the HIV services in Ukraine. By using numbers and in-depth interviews with health officials, service providers, and community members, we looked into the state of HIV care during this challenging period. Our findings show that the effects of the pandemic on HIV services were mixed. While HIV testing done in the community managed to adjust and keep going despite the changes, services in healthcare facilities ran into many problems. Lockdowns and restrictions made it hard for people to get to these places, leading to a big drop in HIV testing and the start of antiretroviral therapy, a key treatment for managing HIV. Despite these challenges, there were important changes and new ideas. Services such as telemedicine and delivering medication were started to make sure patients could continue their antiretroviral therapy without any breaks. The testing for viral load, which is important for checking how well HIV treatment is working, slowly went up, showing a system that could adapt to the pressures of the pandemic. The ability to adjust and keep going shown by some HIV services in Ukraine during the COVID-19 pandemic highlights the need for healthcare delivery methods that can change as needed and last over time. This study points out the importance of ongoing efforts to support people living with HIV, especially when facing big challenges, and gives valuable lessons for managing healthcare services during difficult times like the conflict with Russia.