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dc.contributor.authorMuhula, Samuel
dc.contributor.authorOpanga, Yvonne
dc.contributor.authorOramisi, Violet
dc.contributor.authorNgugi, Catherine
dc.contributor.authorNgunu, Caroline
dc.contributor.authorCarter, Jane
dc.contributor.authorMarita, Enock
dc.contributor.authorOsur, Joachim
dc.contributor.authorMemiah, Peter
dc.date.accessioned2021-06-15T15:46:44Z
dc.date.available2021-06-15T15:46:44Z
dc.date.issued2021-06-03
dc.identifier.urihttp://hdl.handle.net/10713/16005
dc.description.abstractThe study sought to determine the impact of COVID-19 on HIV/AIDS programming in the Kibera informal settlement and COVID-19 hotspot counties during the first wave of the pandemic. The study was conducted in two phases. The first phase entailed the analysis of HIV care and treatment secondary data (2018–2020) from the Kenya Health Information System. In the second phase, a prospective cohort study was conducted among people living with HIV in the Kibera informal settlement. A total of 176 participants aged 18 years and above accessing HIV services at selected healthcare facilities in Kibera were randomly sampled from facility electronic medical records and followed up for three months. Socio-demographics and contact details were abstracted from the records and telephone interviews were conducted with consenting participants. Results from the retrospective review of HIV program data indicated a 56% (p < 0.000, 95% CI: 31.3%–62.8%) reduction in uptake of HIV services. Clients starting antiretroviral therapy (ART) reduced significantly by 48% (p < 0.001, 95% CI: 35.4%–77%) in hotspot counties. However, pre-exposure prophylaxis uptake increased significantly by 24% (p < 0.019, 95% CI: 4%–49%). In Kibera, 14% reported missing medications at the onset of the COVID-19 pandemic because of lack of food (38%) and government measures (11%), which affected ART access; 11% did not access health facilities due to fear of contracting COVID-19, government regulations and lack of personal protective equipment. Socioeconomic factors, food insecurity and government measures affected uptake of HIV/AIDS services; hence, the need for scaling up measures to increase access to HIV/AIDS services during the onset of pandemics. © 2021 by the authors.en_US
dc.description.urihttps://doi.org/10.3390/ijerph18116009en_US
dc.language.isoen_USen_US
dc.publisherMDPI AGen_US
dc.relation.ispartofInternational Journal of Environmental Research and Public Healthen_US
dc.subjectAntiretroviral therapyen_US
dc.subjectCOVID-19en_US
dc.subjectFood securityen_US
dc.subjectHIV/AIDSen_US
dc.subjectLockdown measuresen_US
dc.subjectPersonal protective equipmenten_US
dc.subjectPre-exposure prophylaxisen_US
dc.titleImpact of the first wave of the COVID-19 pandemic on hiv/aids programming in kenya: Evidence from kibera informal settlement and COVID-19 hotspot countiesen_US
dc.typeArticleen_US
dc.identifier.doi10.3390/ijerph18116009
dc.source.volume18
dc.source.issue11


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