Effects of the COVID-19 pandemic on late postpartum women living with HIV in Kenya

Although an estimated 1.4 million women living with HIV (WHIV) are pregnant each year globally, data describing the effects of the COVID-19 pandemic on postpartum women in low- and middle-income countries (LMICs) are limited. To address this gap, we conducted phone surveys among 170 WHIV ≥18 years a...

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Main Authors: John M. Humphrey, Marsha Alera, Leslie A. Enane, Bett Kipchumba, Suzanne Goodrich, Michael Scanlon, Julia Songok, Beverly Musick, Lameck Diero, Constantin Yiannoutsos, Kara Wools-Kaloustian
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-01-01
Series:PLOS Global Public Health
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10058168/?tool=EBI
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author John M. Humphrey
Marsha Alera
Leslie A. Enane
Bett Kipchumba
Suzanne Goodrich
Michael Scanlon
Julia Songok
Beverly Musick
Lameck Diero
Constantin Yiannoutsos
Kara Wools-Kaloustian
author_facet John M. Humphrey
Marsha Alera
Leslie A. Enane
Bett Kipchumba
Suzanne Goodrich
Michael Scanlon
Julia Songok
Beverly Musick
Lameck Diero
Constantin Yiannoutsos
Kara Wools-Kaloustian
author_sort John M. Humphrey
collection DOAJ
description Although an estimated 1.4 million women living with HIV (WHIV) are pregnant each year globally, data describing the effects of the COVID-19 pandemic on postpartum women in low- and middle-income countries (LMICs) are limited. To address this gap, we conducted phone surveys among 170 WHIV ≥18 years and 18–24 months postpartum enrolled in HIV care at the Academic Model Providing Access to Healthcare in western Kenya, and assessed the effects of the pandemic across health, social and economic domains. We found that 47% of WHIV experienced income loss and 71% experienced food insecurity during the pandemic. The majority (96%) of women reported having adequate access to antiretroviral treatment and only 3% reported difficulties refilling medications, suggesting that the program’s strategies to maintain HIV service delivery during the early phase of the pandemic were effective. However, 21% of WHIV screened positive for depression and 8% for anxiety disorder, indicating the need for interventions to address the mental health needs of this population. Given the scale and duration of the pandemic, HIV programs in LMICs should work with governments and non-governmental organizations to provide targeted support to WHIV at highest risk of food and income insecurity and their associated adverse health outcomes.
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spelling doaj.art-05f0cb25c5404f82b9bd8377d33afc3d2023-09-03T12:37:11ZengPublic Library of Science (PLoS)PLOS Global Public Health2767-33752023-01-0133Effects of the COVID-19 pandemic on late postpartum women living with HIV in KenyaJohn M. HumphreyMarsha AleraLeslie A. EnaneBett KipchumbaSuzanne GoodrichMichael ScanlonJulia SongokBeverly MusickLameck DieroConstantin YiannoutsosKara Wools-KaloustianAlthough an estimated 1.4 million women living with HIV (WHIV) are pregnant each year globally, data describing the effects of the COVID-19 pandemic on postpartum women in low- and middle-income countries (LMICs) are limited. To address this gap, we conducted phone surveys among 170 WHIV ≥18 years and 18–24 months postpartum enrolled in HIV care at the Academic Model Providing Access to Healthcare in western Kenya, and assessed the effects of the pandemic across health, social and economic domains. We found that 47% of WHIV experienced income loss and 71% experienced food insecurity during the pandemic. The majority (96%) of women reported having adequate access to antiretroviral treatment and only 3% reported difficulties refilling medications, suggesting that the program’s strategies to maintain HIV service delivery during the early phase of the pandemic were effective. However, 21% of WHIV screened positive for depression and 8% for anxiety disorder, indicating the need for interventions to address the mental health needs of this population. Given the scale and duration of the pandemic, HIV programs in LMICs should work with governments and non-governmental organizations to provide targeted support to WHIV at highest risk of food and income insecurity and their associated adverse health outcomes.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10058168/?tool=EBI
spellingShingle John M. Humphrey
Marsha Alera
Leslie A. Enane
Bett Kipchumba
Suzanne Goodrich
Michael Scanlon
Julia Songok
Beverly Musick
Lameck Diero
Constantin Yiannoutsos
Kara Wools-Kaloustian
Effects of the COVID-19 pandemic on late postpartum women living with HIV in Kenya
PLOS Global Public Health
title Effects of the COVID-19 pandemic on late postpartum women living with HIV in Kenya
title_full Effects of the COVID-19 pandemic on late postpartum women living with HIV in Kenya
title_fullStr Effects of the COVID-19 pandemic on late postpartum women living with HIV in Kenya
title_full_unstemmed Effects of the COVID-19 pandemic on late postpartum women living with HIV in Kenya
title_short Effects of the COVID-19 pandemic on late postpartum women living with HIV in Kenya
title_sort effects of the covid 19 pandemic on late postpartum women living with hiv in kenya
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10058168/?tool=EBI
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