Evidence map›Paper›PMID 38724976›Full record

ArticleAIDS research and therapy2024

Assessing the resilience of HIV healthcare services provided to adolescents and young adults after the COVID-19 pandemic in the city of Beira (Mozambique): an interrupted time series analysis.

Roberto Benoni, Francesco Cavallin, Virginia Casigliani, Annachiara Zin, Dara Giannini, Izilda Chaguruca, Vasco Cinturao, Fernando Chinene, Giulia Brigadoi, Daniele Donà and 2 more

Abstract read
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Article in AIDS research and therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

12 authors.

Roberto BenoniDivision of Pediatric Infectious Diseases, Department of Women's and Children's Health, University of Padua, Padua, Italy. roberto.benoni90@gmail.com.
Francesco CavallinIndependent Statistician, Solagna, Italy.
Virginia CasiglianiDoctors with Africa CUAMM, Beira, Mozambique.
Annachiara ZinDivision of Pediatric Infectious Diseases, Department of Women's and Children's Health, University of Padua, Padua, Italy.
Dara GianniniDoctors with Africa CUAMM, Beira, Mozambique.
Izilda ChagurucaDoctors with Africa CUAMM, Beira, Mozambique.
Vasco CinturaoDoctors with Africa CUAMM, Beira, Mozambique.
Fernando ChineneDoctors with Africa CUAMM, Beira, Mozambique.
Giulia BrigadoiDivision of Pediatric Infectious Diseases, Department of Women's and Children's Health, University of Padua, Padua, Italy.
Daniele DonàDivision of Pediatric Infectious Diseases, Department of Women's and Children's Health, University of Padua, Padua, Italy.
Giovanni PutotoSection of Operational Research, Doctors With Africa CUAMM, Padua, Italy.
Carlo GiaquintoDivision of Pediatric Infectious Diseases, Department of Women's and Children's Health, University of Padua, Padua, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic has put the provision of health services globally at risk. In Sub-Saharan Africa, it had a major impact on HIV services. However, there is a lack of data on the post-pandemic period. This study aims to evaluate the resumption of HIV services and retention in care for adolescents and young people in the period following the COVID-19 pandemic.

methodsA retrospective cohort study was conducted using interrupted time series analysis. Three periods were considered: pre-pandemic (form June 2019 to March 2020), pandemic (form April 2020 to March 2022) post-pandemic (from April 2022 to March 2023). Six outcome measures were considered: number of outpatient visits, HIV tests, HIV positivity ratio, the antiretroviral treatment (ART) non-adherence ratio, recall ratio, and the return ratio for adolescent and young adults on ART.

resultsDuring the study period, 447,515 outpatient visits and 126,096 HIV tests were recorded. After a reduction at the beginning of the pandemic period, both visits and tests increased during the pandemic (p < 0.05) and decreased in the post-pandemic (p < 0.05), recovering the pre-pandemic trends. The HIV positivity ratio slightly decreased from 3.3% to 1.7% during the study period (p < 0.05). The ART non-adherence ratio decreased from 23.4% to 2.4% throughout the study period (p < 0.05), with a drop at the beginning of the post-pandemic period (p < 0.05). The recall ratio increased during the study period (p < 0.05) with a drop at the beginning of the pandemic and post-pandemic periods (p < 0.05). The return ratio decreased at the beginning of the pandemic (p < 0.05) but returned to the pre-pandemic ratio in the post-pandemic period.

conclusionsThe post-pandemic values of the investigated outcomes were comparable to pre-pandemic period, or even improved. Differently from other services, such as the community activities, that have been severely affected by COVID-19 pandemic, the HIV service system has shown resilience following emergency situation.

Indexed as

COVID-19HIV InfectionsInterrupted Time Series AnalysisAdolescentAdultAnti-HIV AgentsDelivery of Health CareDrug MonitoringFemaleHumansMalePandemicsRetrospective StudiesSARS-CoV-2Young AdultAnti-HIV AgentsAdolescents and young peopleCOVID-19Healthcare accessHIVMozambique

Identifiers

PMID38724976
PMCPMC11080168

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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.