Evidence map›Paper›PMID 37133235›Full record

ArticleGlobal health action2023

'Condoms are hard to get by': access to HIV prevention methods during lockdown of the COVID-19 epidemic in eastern Zimbabwe.

Morten Skovdal, Tanyaradzwa Maunzagona, Freedom Dzamatira, Phyllis Magoge-Mandizvidza, Rufurwokuda Maswera, Brian Kumbirai Moyo, Constance Nyamukapa, Simon Gregson

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Global health action, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.4field-weighted citation impact, top 20% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 7 citations in OpenAlex.

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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

8 authors at 4 institutions in 3 countries.

Morten SkovdalDepartment of Public Health, University of Copenhagen, Copenhagen, Denmark.
Tanyaradzwa MaunzagonaManicaland Centre for Public Health Research, Biomedical Research and Training Institute, Harare, Zimbabwe.
Freedom DzamatiraManicaland Centre for Public Health Research, Biomedical Research and Training Institute, Harare, Zimbabwe.
Phyllis Magoge-MandizvidzaManicaland Centre for Public Health Research, Biomedical Research and Training Institute, Harare, Zimbabwe.
Rufurwokuda MasweraManicaland Centre for Public Health Research, Biomedical Research and Training Institute, Harare, Zimbabwe.
Brian Kumbirai MoyoHIV and TB Unit, Ministry of Health and Child Care, Harare, Zimbabwe.
Constance NyamukapaManicaland Centre for Public Health Research, Biomedical Research and Training Institute, Harare, Zimbabwe.
Simon GregsonManicaland Centre for Public Health Research, Biomedical Research and Training Institute, Harare, Zimbabwe.
Biomedical Research and Training Institute · ZWImperial College London · GBMinistry of Health and Child Welfare · ZWUniversity of Copenhagen · DK

Funding

Bill & Melinda Gates Foundation INV-023210Medical Research Council MR/R015600/1
6 · The paper itself

Abstract

backgroundIn the early phase of the coronavirus disease 2019 (COVID-19) pandemic, health services were disrupted worldwide, including HIV prevention services. While some studies have begun to document the effects of COVID-19 on HIV prevention, little has been done to qualitatively examine how lockdown measures were experienced and perceived to affect access to HIV prevention methods in sub-Saharan Africa.

objectivesTo explore how the COVID-19 pandemic was perceived to affect access to HIV prevention methods in eastern Zimbabwe.

methodThis article draws on qualitative data from the first three data collection points (involving telephone interviews, group discussions, and photography) of a telephone and WhatsApp-enabled digital ethnography. Data were collected from 11 adolescent girls and young women and five men over a 5-month period (March-July 2021). The data were analysed thematically.

resultsParticipants reported widespread interruption to their condom supply when beerhalls were shut down as part of a nationwide lockdown. Restrictions in movement meant that participants who could afford to buy condoms from larger supermarkets or pharmacies were unable to. Additionally, the police reportedly refused to issue letters granting permission to travel for the purpose of accessing HIV prevention services. The COVID-19 pandemic was also described to obstruct the demand (fear of COVID-19, movement restrictions) and supply (de-prioritised, stock-outs) for HIV prevention services. Nonetheless, under certain formal and informal circumstances, such as accessing other and more prioritised health services, or 'knowing the right people', some participants were able to access HIV prevention methods.

conclusionPeople at risk of HIV experienced the COVID-19 epidemic in Zimbabwe as disruptive to access to HIV prevention methods. While the disruptions were temporary, they were long enough to catalyse local responses, and to highlight the need for future pandemic response capacities to circumvent a reversal of hard-won gains in HIV prevention.

Indexed as

Acquired Immunodeficiency SyndromeCOVID-19HIV InfectionsAdolescentCommunicable Disease ControlCondomsFemaleHumansMalePandemicsZimbabwecondomsCOVID-19HIV preventionpandemic responseZimbabwe

Identifiers

PMID37133235
PMCPMC10158550
OpenAlexW4367834478

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.