People with HIV navigate numerous challenges to access healthcare in India. The lockdown in response to the COVID-19 pandemic presents further challenges in accessing sexual and reproductive health (SRH) services. This research explored the impact of the pandemic on SRH services, and the depth of disruptions faced by people living with HIV (PLHIV) in accessing treatment. Using purposive sampling with maximum variation technique, we recruited and conducted 150 telephonic in-depth interviews with PLHIV and HIV care providers (HCPs) from five states in India (Karnataka, Tamil Nadu, Maharashtra, Andhra Pradesh, and Telangana). The interviews were recorded, transcribed, coded, and analyzed using interpretative phenomenological analysis. Five main themes were identified: the effect of COVID-19 on (1) access to care, (2) quality of care, (3) social determinants of health, (4) system and community resilience, and (5) support required to address population-specific vulnerabilities. Despite the availability of free government treatment services during the pandemic, profound disruptions in the SRH services, particularly antiretroviral therapy and HIV care, were reported by PLHIV and HCPs. This qualitative study revealed how existing inequities in HIV treatment and care are exacerbated by the pandemic. These findings highlight that the pandemic response should be community-centered to prevent extreme disruptions in healthcare which will have a disastrous effect on the lives of PLHIV.
The present cross-sectional, qualitative study assesses perspectives, attitudes, and experiences of adolescents with SGBV. 19 students from Delhi, were recruited via snowball sampling and telephonically interviewed during April and May 2020. Three key themes emerged post analysis: (i) Introduction and reinforcement of a patriarchal structure (ii) Violence in teen dating (iii) Justice System. Findings of the study bring out adolescents’ experiences with everyday abuse, their perception towards reporting of SGBV, and a complex process of how this violence continues to remain an intricate part of their lives. The results of this study highlight an urgent need for adolescent-friendly health-promoting and gender-equitable interventions.
The severe acute respiratory syndrome coronavirus 2 (SAR-CoV-2) causes coronavirus disease 2019 (COVID-19) and emerged as a new public health crisis. This RNA virus, which has an origin in bats, is phenotypically and genotypically diverse. The source of transmission is by direct inhalation or contact with infected droplets or indirect through fomites. The disease shows an average incubation period of 2 to 14 days. The general symptoms include fever, cough, sore throat, breathlessness, fatigue, and malaise, although in a few it is found to be asymptomatic. The immune response shows variation from individual to individual, which varies from pneumonia, chest pain, acute respiratory distress syndrome, and multiorgan failure leading to death. The cytokine and chemokine responses play a major role in the severity of the infection. Laboratory diagnosis is done by molecular investigations. The socioeconomic conditions of individuals also play a role in disease manifestation. Treatment is supportive with symptomatic management. Preventive measures include social distancing, use of face masks, and contact tracing. This review will present a general overview of coronavirus and describe the clinical and socioeconomic features of the COVID-19 patients. It will also introduce comprehensive data of symptomatic and asymptomatic patients among different Asian and Western countries during the current pandemic. Furthermore, it also focuses on the most up-to-date information on effective management and prevention of COVID-19.
People with intellectual disability (ID) have a greater frequency of psychiatric illnesses, ranging from 10% to 80%, as compared to the general population. It has been proven that mood stabilizers are beneficial in the management of behavior issues in people with ID. Here, we report a series of five cases with mild and moderate ID with behavioral disturbances including mood and psychotic symptoms managed successfully with sodium valproate as the part of the treatment.
The present cross-sectional, qualitative study assesses perspectives, attitudes, and experiences of adolescents with SGBV. 19 students from Delhi, were recruited via snowball sampling and telephonically interviewed during April and May 2020. Three key themes emerged post analysis: (i) Introduction and reinforcement of a patriarchal structure (ii) Violence in teen dating (iii) Justice System. Findings of the study bring out adolescents’ experiences with everyday abuse, their perception towards reporting of SGBV, and a complex process of how this violence continues to remain an intricate part of their lives. The results of this study highlight an urgent need for adolescent-friendly health-promoting and gender-equitable interventions.
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