Evidence map›Paper›PMID 37924012›Full record

ArticleBMC public health2023

Political instability and hiv/aids response in the south west and north west regions of Cameroon: a qualitative study.

Julius Enongene Mekolle, Katayi Edouard Tshimwanga, Niba Juste Ongeh, Agbor Nyenty Agbornkwai, Omeichu Agwenam Amadeus, Ismaela Esa, Keshia Ebude Mekolle, Ndung Ako Forbinake, Claude Ngwayu Nkfusai, Pascal Nji Atanga

Abstract read
In one paragraph

Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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.

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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. 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.

Julius Enongene MekolleFamily Health International, Bafoussam, Cameroon. mekojulio@yahoo.com.ORCID 0000-0003-0126-6815
Katayi Edouard TshimwangaCameroon Baptist Convention Health Services, Bamenda, Cameroon.
Niba Juste OngehClinical Research Education Networking and Consultancy (CRENC), Yaoundé, Cameroon.
Agbor Nyenty AgbornkwaiFamily Health International, Bafoussam, Cameroon.
Omeichu Agwenam AmadeusFamily Health International, Bafoussam, Cameroon.
Ismaela EsaCameroon Baptist Convention Health Services, Bamenda, Cameroon.
Keshia Ebude MekolleUniversite Catholic d`Afrique Centrale, Yaoundé, Cameroon.
Ndung Ako ForbinakeWorld Health Organization, Buea, Cameroon.
Claude Ngwayu NkfusaiSchool of Nursing and Public Health, University of KwaZulu- Natal, Durban, South Africa.
Pascal Nji AtangaCameroon Baptist Convention Health Services, Bamenda, Cameroon.

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundPolitically motivated violence and insecurity continue to be a major threat to progress in HIV epidemic control and a significant contributor to health inequality. Despite a decreasing HIV/AIDS disease burden, the Republic of Cameroon in West Africa is experiencing ongoing political instability in her North and South West Regions. Our study used qualitative methods to better understand key frontline health care providers' (fHCP) perceptions of the effects of political instability on HIV/AIDS response gains in Cameroon since 2018, as well as lessons learned for overcoming them.

methodsBetween July and August 2022, semi-structured, in-depth key informant interviews involving 10 purposively selected participants were conducted in the two regions. Interviews were recorded and transcribed verbatim, coded thematically, and analyzed manually.

resultsSix overarching themes emerged from the transcribed key informant interviews. They were as follows: Challenge with access to and availability of health care services (HIV care, commodity supply chain) in the smaller communities; Impact on continuity of treatment; Increased risk of new HIV infections; The socioeconomic impact of the crisis on the quality of life; The impact of the crisis on fHCPs' physical and mental health and the health system'; and Coping mechanisms.

conclusionsFrontline healthcare workers have acknowledged the significant impact the current political instability has had in hindering the development and advancement of a successful local response to HIV/AIDS in the two impacted regions of Cameroon. Coordinated efforts must be made to strengthen the health sector in areas such as HIV healthcare decentralization, supply chain, and protecting frontline healthcare workers from political quagmires in order to lessen the impact of the nation's socio-political crisis on the HIV/AIDS response and, more generally, on the entire health sector.

Indexed as

Acquired Immunodeficiency SyndromeHIV InfectionsCameroonFemaleHealth Status DisparitiesHumansQualitative ResearchQuality of LifeCameroonGlobal healthHIV/AIDSPolitical instabilityQualitative health research

Identifiers

PMID37924012
PMCPMC10625251

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.