Research Article | | Peer-Reviewed

Continuity of HIV-Related Care in the Central Districts of Senegal During the COVID-19 Pandemic Period Between March 2020 and February 2021

Received: 11 October 2023     Accepted: 25 October 2023     Published: 9 November 2023
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Abstract

The HIV /AIDS pandemic is a major public health problem. COVID-19 infection has impacted the national health system. It was deemed necessary to study the continuity of HIV-related services in Senegal. An analytical cross-sectional study was conducted. The study populations were represented by all PLHIV who joined the active queue between March 2020 and February 2021. A multi-stage survey was conducted at the district level. Univariate and multivariate analyses were carried out using the SPSS version 2022 software. The mean age of patients was 43.38 years ±13.22. More than half of PLHIV were educated (53.13%) and married (55.47%) with a majority of the female sex 66.41%. Among the respondents, 66.13% were engaged in income-generating activities, of which 86.42% were in the informal sector. More than half of the respondents 67.50% had a monthly income of less than 55,000 FCFA. Television was the main source of information (51.56%). Almost all PLHIV (96.88%) had continued to seek counselling services. The majority (93.55%) had performed at least one follow-up para-clinical assessment with an average delay of 7.54±8.64 months. More than half (71.55%) of PLHIV were very satisfied with the follow-up consultation and assessment services offered. Among the 85 PLHIV surveyed, (9.41%) were pregnant or had given birth within the last 12 months. PLHIV for whom COVID-19 negatively impacted the continuity of services accounted for 16.41%. The discontinuity of HIV care services was higher in male subjects with an adjusted OR 4.61 [1.58-13.51]. Subjects who had no income-generating activity were at greater risk of experiencing care service discontinuity with an adjusted OR 3.13 [1.10-9.23]. The results of this work suggest to health authorities to reorganize the health system and adopt a policy based on the community approach and to populations to overcome the "fear of COVID-19".

Published in International Journal of Health Economics and Policy (Volume 8, Issue 4)
DOI 10.11648/j.hep.20230804.14
Page(s) 112-116
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Continuity, Services, HIV Prevention, COVID-19, Senegal

References
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Cite This Article
  • APA Style

    Cheikh Tacko, D., Boubacar, G., Coly Bop, M., Mansour Bouna, D., Mamadou Mactar Mbacké, L., et al. (2023). Continuity of HIV-Related Care in the Central Districts of Senegal During the COVID-19 Pandemic Period Between March 2020 and February 2021. International Journal of Health Economics and Policy, 8(4), 112-116. https://doi.org/10.11648/j.hep.20230804.14

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    ACS Style

    Cheikh Tacko, D.; Boubacar, G.; Coly Bop, M.; Mansour Bouna, D.; Mamadou Mactar Mbacké, L., et al. Continuity of HIV-Related Care in the Central Districts of Senegal During the COVID-19 Pandemic Period Between March 2020 and February 2021. Int. J. Health Econ. Policy 2023, 8(4), 112-116. doi: 10.11648/j.hep.20230804.14

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    AMA Style

    Cheikh Tacko D, Boubacar G, Coly Bop M, Mansour Bouna D, Mamadou Mactar Mbacké L, et al. Continuity of HIV-Related Care in the Central Districts of Senegal During the COVID-19 Pandemic Period Between March 2020 and February 2021. Int J Health Econ Policy. 2023;8(4):112-116. doi: 10.11648/j.hep.20230804.14

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  • @article{10.11648/j.hep.20230804.14,
      author = {Diop Cheikh Tacko and Gueye Boubacar and Martial Coly Bop and Diop Mansour Bouna and Leye Mamadou Mactar Mbacké and Ka Ousseynou},
      title = {Continuity of HIV-Related Care in the Central Districts of Senegal During the COVID-19 Pandemic Period Between March 2020 and February 2021},
      journal = {International Journal of Health Economics and Policy},
      volume = {8},
      number = {4},
      pages = {112-116},
      doi = {10.11648/j.hep.20230804.14},
      url = {https://doi.org/10.11648/j.hep.20230804.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.hep.20230804.14},
      abstract = {The HIV /AIDS pandemic is a major public health problem. COVID-19 infection has impacted the national health system. It was deemed necessary to study the continuity of HIV-related services in Senegal. An analytical cross-sectional study was conducted. The study populations were represented by all PLHIV who joined the active queue between March 2020 and February 2021. A multi-stage survey was conducted at the district level. Univariate and multivariate analyses were carried out using the SPSS version 2022 software. The mean age of patients was 43.38 years ±13.22. More than half of PLHIV were educated (53.13%) and married (55.47%) with a majority of the female sex 66.41%. Among the respondents, 66.13% were engaged in income-generating activities, of which 86.42% were in the informal sector. More than half of the respondents 67.50% had a monthly income of less than 55,000 FCFA. Television was the main source of information (51.56%). Almost all PLHIV (96.88%) had continued to seek counselling services. The majority (93.55%) had performed at least one follow-up para-clinical assessment with an average delay of 7.54±8.64 months. More than half (71.55%) of PLHIV were very satisfied with the follow-up consultation and assessment services offered. Among the 85 PLHIV surveyed, (9.41%) were pregnant or had given birth within the last 12 months. PLHIV for whom COVID-19 negatively impacted the continuity of services accounted for 16.41%. The discontinuity of HIV care services was higher in male subjects with an adjusted OR 4.61 [1.58-13.51]. Subjects who had no income-generating activity were at greater risk of experiencing care service discontinuity with an adjusted OR 3.13 [1.10-9.23]. The results of this work suggest to health authorities to reorganize the health system and adopt a policy based on the community approach and to populations to overcome the "fear of COVID-19".
    },
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Continuity of HIV-Related Care in the Central Districts of Senegal During the COVID-19 Pandemic Period Between March 2020 and February 2021
    AU  - Diop Cheikh Tacko
    AU  - Gueye Boubacar
    AU  - Martial Coly Bop
    AU  - Diop Mansour Bouna
    AU  - Leye Mamadou Mactar Mbacké
    AU  - Ka Ousseynou
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    PY  - 2023
    N1  - https://doi.org/10.11648/j.hep.20230804.14
    DO  - 10.11648/j.hep.20230804.14
    T2  - International Journal of Health Economics and Policy
    JF  - International Journal of Health Economics and Policy
    JO  - International Journal of Health Economics and Policy
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    EP  - 116
    PB  - Science Publishing Group
    SN  - 2578-9309
    UR  - https://doi.org/10.11648/j.hep.20230804.14
    AB  - The HIV /AIDS pandemic is a major public health problem. COVID-19 infection has impacted the national health system. It was deemed necessary to study the continuity of HIV-related services in Senegal. An analytical cross-sectional study was conducted. The study populations were represented by all PLHIV who joined the active queue between March 2020 and February 2021. A multi-stage survey was conducted at the district level. Univariate and multivariate analyses were carried out using the SPSS version 2022 software. The mean age of patients was 43.38 years ±13.22. More than half of PLHIV were educated (53.13%) and married (55.47%) with a majority of the female sex 66.41%. Among the respondents, 66.13% were engaged in income-generating activities, of which 86.42% were in the informal sector. More than half of the respondents 67.50% had a monthly income of less than 55,000 FCFA. Television was the main source of information (51.56%). Almost all PLHIV (96.88%) had continued to seek counselling services. The majority (93.55%) had performed at least one follow-up para-clinical assessment with an average delay of 7.54±8.64 months. More than half (71.55%) of PLHIV were very satisfied with the follow-up consultation and assessment services offered. Among the 85 PLHIV surveyed, (9.41%) were pregnant or had given birth within the last 12 months. PLHIV for whom COVID-19 negatively impacted the continuity of services accounted for 16.41%. The discontinuity of HIV care services was higher in male subjects with an adjusted OR 4.61 [1.58-13.51]. Subjects who had no income-generating activity were at greater risk of experiencing care service discontinuity with an adjusted OR 3.13 [1.10-9.23]. The results of this work suggest to health authorities to reorganize the health system and adopt a policy based on the community approach and to populations to overcome the "fear of COVID-19".
    
    VL  - 8
    IS  - 4
    ER  - 

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Author Information
  • Faculty of Community Health, Alioune DIOP University, Bambey, Senegal

  • Faculty of Community Health, Alioune DIOP University, Bambey, Senegal

  • Faculty of Community Health, Alioune DIOP University, Bambey, Senegal

  • Faculty of Medicine, Pharmacy and Dentistry, Cheikh Anta DIOP University, Dakar, Senegal

  • Faculty of Medicine, Pharmacy and Dentistry, Cheikh Anta DIOP University, Dakar, Senegal

  • Faculty of Community Health, Alioune DIOP University, Bambey, Senegal

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