World AIDS Day 2020: Reflections on global and South African progress and continuing challenges

Pillay, Yogan; Lf, Johnson

doi:10.4102/sajhivmed.v22i1.1205

Cited by 19 publications

(22 citation statements)

References 9 publications

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“…The findings of other studies also indicated that HIV testing services were reduced during the first season of the COVID-19 pandemic. 10 , 19–21 This could be because government-mandated lockdowns, which are intended to prevent the spread of COVID-19, have had a wide-range impact on health-care delivery. Furthermore, there was widespread public concern about contracting COVID-19 and being diagnosed with the condition, which resulted in a significant drop in VCT.…”

Section: Discussionmentioning

confidence: 99%

“…HIV AIDS is one of the leading causes of death, accounting for around 690,000 deaths each year worldwide. 10 In 2020, an estimated 37.6 million people globally were infected with HIV, 1.3 million and 160,000 new adults and children was infected. 11 Around 16% of peoples living with HIV AIDS were unaware of their HIV status, 27% were unable to get antiretroviral therapy (ART), and 34% of those on ART were not virally suppressed.…”

Section: Introductionmentioning

confidence: 99%

“…11 Around 16% of peoples living with HIV AIDS were unaware of their HIV status, 27% were unable to get antiretroviral therapy (ART), and 34% of those on ART were not virally suppressed. 10 Eastern and Southern Africa are home to 55% of HIV-positive peoples. Ethiopia is one of the countries in the eastern African region that has very high HIV AIDS burden.…”

Section: Introductionmentioning

confidence: 99%

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The Effect of COVID-19 on Routine HIV Care Services from Health Facilities in Northwest Ethiopia

Adugna¹,

Azanaw²,

Melaku³

2021

HIV

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Background There is mounting evidence that the risk of death from COVID-19 among people with HIV could be as much as twice that of the general population. Recent evidence revealed that HIV services has been decreased by 75% and the problem is much more extensive in Ethiopia since most of the logistics for HIV services and fund donated by the good will of NGOs. Understanding the impact of COVID-19 on HIV services is a crucial first step to draw appropriate intervention. Thus, this study aimed to assess the impact of COVID-19 pandemic on HIV services in northwest Ethiopia. Methods An institution-based repeated cross-sectional study was conducted in Gondar city in August 2021. The DHIS-2 system, operated by FMOH contains data from all the nine health facilities for HIV care was used to extract data from the central repository. Excel data was exported to STATA 14 for analysis. We calculated indicators of HIV services, representing the 12 months pre-COVID 19 (2019) and 16 months during the COVID-19 period (2020 and 2021). ANOVA was used to detect the presence of significant mean differences between those periods. Assumptions of ANOVA was checked. The statistical significance was declared at 95% confidence interval (CI), p-value less than 0.05. Results The mean difference was significant within HIV_VCT, HIV_PICT, ART between the years 2019 before COVID-19 and 2020 during COVID-19 (p-value < 0.05). HIV_VCT, ART variability was substantial between the years 2019 and 2021 (p-value < 0.05). Conclusion COVID-19 seriously affected all aspects of HIV service uptake such as HIV VCT, HIV PICT, ART, newly started ART, TB screening, and lost to ART follow-up. This study urges optimizing ART delivery mitigation with the ongoing COVID-19 in Ethiopia and beyond, in order to maintain progress toward HIV epidemic control.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Effect of COVID-19 on Routine HIV Care Services from Health Facilities in Northwest Ethiopia

Adugna¹,

Azanaw²,

Melaku³

2021

HIV

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“…Where information was not available at the municipality level we defer, depending on data availability, to district or province. In 2020, a second round of quantitative data collection was conducted in relation to HIV so that newly published numbers from the 2019 Thembisa model could be included [ 11 , 12 ].…”

Section: Methodsmentioning

confidence: 99%

Health and wellbeing needs and priorities in mining host communities in South Africa: a mixed-methods approach for identifying key SDG3 targets

et al. 2022

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Background The global mining industry has an opportunity to mobilize resources to advance progress against the Sustainable Development Goals (SDGs). In 2018, the Anglo-American Group outlined aspirations for mining host communities to meet the SDG3 health targets. To progress from aspiration to action we designed and implemented a mixed-methods approach to attain a deeper understanding of the health and wellbeing priorities within the local context of host communities of fifteen mines in South Africa. Methods To identify local needs and priorities relating to SDG3 targets in host communities, stakeholder workshops and key informant interviews were conducted between June and August 2019. A baseline assessment of health data, related to each of the SDG3 targets and indicators and to each host community location, was also conducted. Findings emerging from the qualitative and quantitative baseline assessments were compared to identify the extent to which health issues aligned and health and wellbeing priority areas for action. Results A total of 407 people participated in the workshops, and 85 key informants were interviewed. Quantitative data were available at sub-national level for seven of the nine SDG3 targets and eleven of the 21 indicators. Key priority areas for action identified through alignment of the qualitative and quantitative data were maternal mortality (SDG3.1), HIV (SDG3.3.1), tuberculosis (SDG3.3.2), substance abuse (SDG3.5), and road traffic accidents (SDG3.6) We found consistency in the individual, interpersonal, community, societal, and structural factors underlying these priority areas. At a structural level, poor access to quality healthcare was raised at every workshop as a key factor underlying the achievement of all SDG3 targets. Of the five priority areas identified, HIV, TB and substance abuse were found to overlap in the study communities in terms of risk, burden, and underlying factors. Conclusions We demonstrate a mixed method approach for identifying local health needs and prioritised SDG3 targets in mining host communities. Consistency in reporting suggests the need for effective, efficient and feasible interventions to address five priority areas. Given the prominent economic role of the mining sector in South Africa, it can play a critical role in implementing programmatic activities that further progress towards achieving the SDG3 targets.

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“…With nearly eight million people in SA infected with HIV, the largest number globally, testing and initiating people infected with HIV on treatment are particularly important to reduce transmission. [16] The 22.3% decline in the number of people tested for HIV in 2020 means that fewer people living with HIV were initiated on treatment, resulting in SA not achieving the desired targets towards ending the AIDS epidemic. The decline in testing is similar for TB, with a 26% decrease in GeneXpert tests done in 2020.…”

Section: In Practicementioning

confidence: 99%

Impact of COVID-19 on routine primary healthcare services in South Africa

Pillay¹,

Pienaar²,

Barron

et al. 2021

S Afr Med J

117

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World AIDS Day 2020: Reflections on global and South African progress and continuing challenges

Cited by 19 publications

References 9 publications

The Effect of COVID-19 on Routine HIV Care Services from Health Facilities in Northwest Ethiopia

The Effect of COVID-19 on Routine HIV Care Services from Health Facilities in Northwest Ethiopia

Health and wellbeing needs and priorities in mining host communities in South Africa: a mixed-methods approach for identifying key SDG3 targets

Impact of COVID-19 on routine primary healthcare services in South Africa

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