The Impact of COVID-19 on the HIV Cascade of Care in Botswana – An Interrupted Time Series
<p dir="ltr">Globally, Botswana has one of the highest burdens of HIV. This study estimated the impact of the COVID-19 pandemic on the HIV cascade of care in Sub-Saharan Africa. We conducted an interrupted time series analysis on national-level data to estimate the effect of COVID-19...
محفوظ في:
| المؤلف الرئيسي: | |
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| مؤلفون آخرون: | , |
| منشور في: |
2024
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| الموضوعات: | |
| الوسوم: |
إضافة وسم
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| _version_ | 1864513542120538112 |
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| author | Alice Sehurutshi (21842696) |
| author2 | Habib Farooqui (757162) Tawanda Chivese (801864) |
| author2_role | author author |
| author_facet | Alice Sehurutshi (21842696) Habib Farooqui (757162) Tawanda Chivese (801864) |
| author_role | author |
| dc.creator.none.fl_str_mv | Alice Sehurutshi (21842696) Habib Farooqui (757162) Tawanda Chivese (801864) |
| dc.date.none.fl_str_mv | 2024-06-10T09:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1007/s10461-024-04388-x |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/The_Impact_of_COVID-19_on_the_HIV_Cascade_of_Care_in_Botswana_An_Interrupted_Time_Series/29716247 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Health sciences Epidemiology Public health COVID-19 Human immunodeficiency virus (HIV) HIV cascade of care HIV screening Sub-saharan africa Antiretroviral therapy (ART) initiation Botswana |
| dc.title.none.fl_str_mv | The Impact of COVID-19 on the HIV Cascade of Care in Botswana – An Interrupted Time Series |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <p dir="ltr">Globally, Botswana has one of the highest burdens of HIV. This study estimated the impact of the COVID-19 pandemic on the HIV cascade of care in Sub-Saharan Africa. We conducted an interrupted time series analysis on national-level data to estimate the effect of COVID-19 on the numbers of HIV tests, positive HIV tests and ART initiations from April 2019 until March 2021. In multivariable Poisson interrupted time series regression, the COVID-19 lockdown was associated with a 27% decrease in the monthly numbers of HIV tests (IRR 0.73, 95%CI 0.72–0.73), a 25% decrease in HIV positive tests (IRR 0.75, 95%CI 0.71–0.79), and a 43% reduction in ART initiations (IRR 0.57, 95%CI 0.55–0.60). The impact of the pandemic on all three outcomes was worse in males and those aged ≥ 50 years. In conclusion, COVID-19 had a strong negative impact on HIV screening, diagnosis and ART initiation in Botswana.</p><h2>Other Information</h2><p dir="ltr">Published in: AIDS and Behavior<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1007/s10461-024-04388-x" target="_blank">https://dx.doi.org/10.1007/s10461-024-04388-x</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_1ce2ca06ad6258e7c708ef68c6d6367e |
| identifier_str_mv | 10.1007/s10461-024-04388-x |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/29716247 |
| publishDate | 2024 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | The Impact of COVID-19 on the HIV Cascade of Care in Botswana – An Interrupted Time SeriesAlice Sehurutshi (21842696)Habib Farooqui (757162)Tawanda Chivese (801864)Health sciencesEpidemiologyPublic healthCOVID-19Human immunodeficiency virus (HIV)HIV cascade of careHIV screeningSub-saharan africaAntiretroviral therapy (ART) initiationBotswana<p dir="ltr">Globally, Botswana has one of the highest burdens of HIV. This study estimated the impact of the COVID-19 pandemic on the HIV cascade of care in Sub-Saharan Africa. We conducted an interrupted time series analysis on national-level data to estimate the effect of COVID-19 on the numbers of HIV tests, positive HIV tests and ART initiations from April 2019 until March 2021. In multivariable Poisson interrupted time series regression, the COVID-19 lockdown was associated with a 27% decrease in the monthly numbers of HIV tests (IRR 0.73, 95%CI 0.72–0.73), a 25% decrease in HIV positive tests (IRR 0.75, 95%CI 0.71–0.79), and a 43% reduction in ART initiations (IRR 0.57, 95%CI 0.55–0.60). The impact of the pandemic on all three outcomes was worse in males and those aged ≥ 50 years. In conclusion, COVID-19 had a strong negative impact on HIV screening, diagnosis and ART initiation in Botswana.</p><h2>Other Information</h2><p dir="ltr">Published in: AIDS and Behavior<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1007/s10461-024-04388-x" target="_blank">https://dx.doi.org/10.1007/s10461-024-04388-x</a></p>2024-06-10T09:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1007/s10461-024-04388-xhttps://figshare.com/articles/journal_contribution/The_Impact_of_COVID-19_on_the_HIV_Cascade_of_Care_in_Botswana_An_Interrupted_Time_Series/29716247CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/297162472024-06-10T09:00:00Z |
| spellingShingle | The Impact of COVID-19 on the HIV Cascade of Care in Botswana – An Interrupted Time Series Alice Sehurutshi (21842696) Health sciences Epidemiology Public health COVID-19 Human immunodeficiency virus (HIV) HIV cascade of care HIV screening Sub-saharan africa Antiretroviral therapy (ART) initiation Botswana |
| status_str | publishedVersion |
| title | The Impact of COVID-19 on the HIV Cascade of Care in Botswana – An Interrupted Time Series |
| title_full | The Impact of COVID-19 on the HIV Cascade of Care in Botswana – An Interrupted Time Series |
| title_fullStr | The Impact of COVID-19 on the HIV Cascade of Care in Botswana – An Interrupted Time Series |
| title_full_unstemmed | The Impact of COVID-19 on the HIV Cascade of Care in Botswana – An Interrupted Time Series |
| title_short | The Impact of COVID-19 on the HIV Cascade of Care in Botswana – An Interrupted Time Series |
| title_sort | The Impact of COVID-19 on the HIV Cascade of Care in Botswana – An Interrupted Time Series |
| topic | Health sciences Epidemiology Public health COVID-19 Human immunodeficiency virus (HIV) HIV cascade of care HIV screening Sub-saharan africa Antiretroviral therapy (ART) initiation Botswana |