Evidence map›Paper›PMID 36718505›Full record

ArticleJournal of the International Association of Providers of AIDS Care

Interruptions to HIV Care Delivery During Pandemics and Natural Disasters: A Qualitative Study of Challenges and Opportunities From Frontline Healthcare Providers in Western Kenya.

Dan N Tran, Jennifer Ching, Catherine Kafu, Juddy Wachira, Hillary Koros, Maya Venkataramani, Jamil Said, Sonak D Pastakia, Omar Galárraga, Becky L Genberg

Registry-linked trialAbstract read
In one paragraph

Article in Journal of the International Association of Providers of AIDS Care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04417127 (Harambee), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04417127 nacompletednot on this map

Harambee: Integrated Community-based HIV/NCD Care & Microfinance Groups in Kenya

TypeinterventionalSponsorBrown UniversityRan2020 to 2023Enrolled1,200ConditionsHIV/AIDS, Noncommunicable Diseases, Hypertension, DiabetesArmsIntegrated Community-Based (ICB) Care, Group-level Microfinance
3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Dan N TranDepartment of Pharmacy Practice, Temple University School of Pharmacy, Philadelphia, PA, USA.ORCID 0000-0002-8332-8196
Jennifer ChingDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MA, USA.
Catherine KafuThe 430902Academic Model Providing Access to Healthcare, Eldoret, Kenya.
Juddy WachiraDepartment of Mental Health & Behavioral Sciences, 130188Moi University School of Medicine, Eldoret, Kenya.ORCID 0000-0002-3654-5788
Hillary KorosThe 430902Academic Model Providing Access to Healthcare, Eldoret, Kenya.
Maya VenkataramaniDepartment of Medicine, 1500Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Jamil SaidThe 430902Academic Model Providing Access to Healthcare, Eldoret, Kenya.
Sonak D PastakiaThe 430902Academic Model Providing Access to Healthcare, Eldoret, Kenya.
Omar GalárragaDepartment of Health Services, Policy & Practice, 174610Brown University School of Public Health, Providence, RI, USA.
Becky L GenbergDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MA, USA.ORCID 0000-0002-9450-5311

Funding

Harambee: Integrated Community-Based HIV/NCD Care & Microfinance Groups in KenyaR01MH118075 · NIMH · BROWN UNIVERSITY · PI GALARRAGA, OMAR, GENBERG, BECKY LYNN · 2019 to 2023
$2.8M
NIMH NIH HHS R01 MH118075
6 · The paper itself

Abstract

During public health crises, people living with HIV (PLWH) may become disengaged from care. The goal of this study was to understand the impact of the COVID-19 pandemic and recent flooding disasters on HIV care delivery in western Kenya. We conducted ten individual in-depth interviews with HIV providers across four health facilities. We used an iterative and integrated inductive and deductive data analysis approach to generate four themes. First, increased structural interruptions created exacerbating strain on health facilities. Second, there was increased physical and psychosocial burnout among providers. Third, patient uptake of services along the HIV continuum decreased, particularly among vulnerable patients. Finally, existing community-based programs and teleconsultations could be adapted to provide differentiated HIV care. Community-centric care programs, with an emphasis on overcoming the social, economic, and structural barriers will be crucial to ensure optimal care and limit the impact of public health disruptions on HIV care globally.

Indexed as

COVID-19HIV InfectionsNatural DisastersHealth PersonnelHumansKenyaPandemicsQualitative Researchcommunity-based caredifferentiated carenatural disastersPandemicssocial determinants of health

Identifiers

PMID36718505
PMCPMC9893388

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.