ArticleScientific reports2025
Outcome of HIV patients on ART during the war and siege in a tertiary hospital in Northern Ethiopia: a cross-sectional study.
Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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6 citing papers in PubMed.
- Quantifying HIV transmission in the context of armed conflict in the Tigray Region, Northern Ethiopia: a dynamic risk equation model.Scientific reports · 2026Article
- Client perceptions and satisfaction with HIV care clinic services in post-conflict Tigray, Ethiopia: a cross-sectional study.Conflict and health · 2026Article
- "Words fail to describe what has been done": understanding the lived experiences of health professionals during war and siege.Human resources for health · 2026Article
- High-risk human papillomavirus and HBV, HCV, and T. pallidum association among women living with HIV in selected health facilities of Mekelle, Tigray, Northern Ethiopia.Scientific reports · 2026Article
- Trends, magnitude and determinants of viral load suppression among HIV patients on highly active anti-retroviral therapy in Tigray region, Ethiopia: a retrospective study (2016-2024).BMC infectious diseases · 2026Article
- The Effect of Conflict on Medical Services for People Living With Advanced HIV Disease and Cryptococcal Meningitis in Ethiopia's Tigray Region: A Qualitative Study of Healthcare Providers.Open forum infectious diseases · 2026Article
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12 authors.
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Abstract
The war and siege in Tigray, Ethiopia, have devastated the region's health system, critically impacting care for people living with HIV. This study aimed to assess the outcomes and factors affecting HIV patients during this crisis. An independent, repeated cross-sectional study was conducted at Ayder Comprehensive Specialized Hospital between October and November 2022. Data from prewar and during the war periods were analyzed using descriptive statistics and logistic regression. Among 440 participants (mean ages: 39 prewar and 41.2 during war), poor outcomes increased significantly during the war (28.6% prewar vs. 54.5% during war, p < 0.001). ART drug availability dropped by 68.8%, while only 10.6% and 30.7% accessed IPT and CPT, respectively. Services like CD4 and viral load determinations were severely disrupted (p < 0.001), with frequent ART switches and more missed appointments. Prewar factors associated with poor outcomes included severe malnutrition (AOR 3.98; 95% CI 1.04-15.22) and viral load > 1000 copies (AOR 6.68; 95% CI 2.91-15.32). During the crisis, significant factors included travel from distant areas (AOR 2.56; 95% CI 1.14-5.74), CD4 count > 200 cells/ml (AOR 0.27; 95% CI 0.08-0.97). The war and siege in Tigray significantly worsened HIV outcomes by disrupting care services and limiting access to essential treatments.
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