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Exploring how stay-at-home orders during the Covid-19 pandemic impedes engagement along the HIV/Aids care continuum in public hospitals of Southwest Ethiopia

A qualitative study

Bibliographic Data

ID22077265
AuthorsAbraham Tamirat Gizaw (0000-0001-6387-6278, Jimma University, corresponding author), Mengistu Abayneh (0000-0003-2700-8216, Mizan Tepi University)
Year2024
Volume12
Pages1273448-1273448
Publication date2024-06-17
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2024.1273448
PMID38952732
OpenAlexW4399739328
LanguageEN
References cited24

Introduction: COVID-19 has rapidly spread across the world. In March 2020, shortly after the first confirmed case of COVID-19 in Ethiopia in March 2020, the government of Ethiopia took several measures. Purpose: This study aims to explore how stay-at-home orders during the COVID-19 pandemic hinder engagement with HIV/AIDS care in public hospitals in Southwest Ethiopia. Additionally, we aim to explore the psychosocial challenges faced in accessing services during stay-at-home orders. Methods: A descriptive qualitative study was conducted from 20 May to 3 June 2020, using semi-structured, in-depth interviews. In total, 27 study participants were recruited from purposively selected people living with HIV/AIDS (PLWHA) who had experienced delays, declines, or discontinuation of care after COVID-19 was confirmed in Ethiopia on 13 March 2020. The participants were interviewed over the phone and their responses were audio-recorded. Data were transcribed verbatim, translated, and analyzed using inductive thematic analysis in the Atlas ti.7.1 software package. Results: The main themes and sub-themes that emerged were psychosocial issues (such as depression, hopelessness, and fear), risk perception (including high risk, susceptibility, and severity), forceful enforcement of stay-at-home orders (such as police beatings, community leaders disgracing, and influence of families and relatives), socioeconomic factors (such as stigma, religion, and transportation costs), misinformation about COVID-19 (such as lockdowns and ART stock-outs), and healthcare factors (such as inadequate health information and long distances to healthcare facilities). Conclusion: Overall, these findings were similar to the challenges experienced by PLWHA in adhering to the recommended continuum of care. However, there are additional factors due to COVID-19, such as misinformation and the forceful implementation of the stay-at-home-orders, that impede the continuum of care. Therefore, it is important to strengthen information, education, and communication

Disease · Economic growth · Family medicine · Health care · Misinformation · Pandemic · Political science · Psychiatry · Psychosocial · Public health · Qualitative research · Sociology · Thematic analysis · COVID-19 and Mental Health · COVID-19 Digital Contact Tracing · COVID-19 Impact on Reproduction · Medicine · Nursing

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Highly citedNo

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