Evidence map›Paper›PMID 39486827›Full record

ArticleBMJ open2024

Assessing the impact of COVID-19 on HIV care cascade for people living with HIV in Ethiopia: a retrospective longitudinal study.

Abebe Feyissa Amhare, Mingwang Shen, Zhuoru Zou, Ruyi Xia, Jing Han, Liangmin Gao, Lei Zhang

Abstract read
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Trends and Disruptions in Antiretroviral Treatment Enrollment in Haiti, 2018-2024.The American journal of tropical medicine and hygiene · 2026
    Article
  2. Article
  3. 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

7 authors.

Abebe Feyissa AmhareChina-Australia Joint Research Center for Infectious Diseases, School of Public Health, Xi'an Jiaotong University, Health Science Center, Xi'an, Shaanxi, China.ORCID 0000-0001-5252-3653
Mingwang ShenChina-Australia Joint Research Center for Infectious Diseases, School of Public Health, Xi'an Jiaotong University, Health Science Center, Xi'an, Shaanxi, China.
Zhuoru ZouXi'an Jiaotong University Health Science Center, Xi'an, Shaanxi, China.
Ruyi XiaChina-Australia Joint Research Center for Infectious Diseases, School of Public Health, Xi'an Jiaotong University, Health Science Center, Xi'an, Shaanxi, China.
Jing HanXi'an Jiaotong University Health Science Center, Xi'an, Shaanxi, China.
Liangmin GaoInstitute for International and Area Studies, Tsinghua University, Beijing, People's Republic of China lei.zhang1@xjtu.edu.cn glmdhx@126.com.
Lei ZhangChina-Australia Joint Research Center for Infectious Diseases, School of Public Health, Xi'an Jiaotong University, Health Science Center, Xi'an, Shaanxi, China lei.zhang1@xjtu.edu.cn glmdhx@126.com.

Funding

Gates Foundation INV-006104
6 · The paper itself

Abstract

objectiveThe study aimed to investigate the impact of COVID-19 on the cascade of HIV care for people living with HIV (PLHIV) in Ethiopia.

designA retrospective longitudinal study.

settingThe study was conducted in North Showa Zone, Ethiopia, from pre-COVID-19 (January 2018-December 2019) and during COVID-19 (January 2020-December 2021).

participantsWe identified 61901 records from 3925 PLHIV, of which 23 848 were recorded during the pandemic.

main outcome measureWe investigated indicators from four stages of the HIV care cascade, including HIV screening and diagnosis, HIV care, HIV treatment and HIV disease progression, according to a WHO framework. The indicator changes were assessed with incidence rate ratios (IRRs).

resultsFor HIV screening and diagnosis, the monthly number of HIV tests experienced a 46% decline from 2520 to 1361 since the pandemic (IRR 0.553; 95% CI 0.546 to 0.561). For HIV care, the monthly number of consultations was reduced by 49.6% (from 1582 to 798) since the pandemic (IRR 0.591; 95% CI 0.581 to 0.601). Similarly, the monthly number of viral load tests was reduced by 42.8% (IRR 0.614; 95% CI 0.581 to 0.650). For HIV treatment, the number of antiretroviral therapy (ART) initiations was reduced by 27.8% and the number of ART adherence by 52.5% since the pandemic. For HIV disease progression, the monthly number of PLHIV achieving viral suppression was reduced by 61.6%, while HIV-related deaths doubled during the pandemic.

conclusionThe study highlights pandemic-induced disruptions in the cascade of care for PLHIV. Targeted interventions are necessary to protect PLHIV in public health emergencies.

Indexed as

COVID-19HIV InfectionsAdolescentAdultDisease ProgressionEthiopiaFemaleHIV TestingHumansLongitudinal StudiesMaleMiddle AgedRetrospective StudiesSARS-CoV-2Young AdultCOVID-19Health ServicesHIV & AIDS

Identifiers

PMID39486827
PMCPMC11529552

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.