The impacts of COVID-19 pandemic on service delivery and treatment outcomes in people living with HIV: a systematic review
Abstract Introduction The COVID-19 epidemic and various control and mitigation measures to combat the widespread outbreak of the disease may affect other parts of health care systems. There is a concern that the COVID-19 pandemic could disrupt HIV services. Therefore, this study aimed to systematica...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-01-01
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| Series: | AIDS Research and Therapy |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12981-022-00496-7 |
| _version_ | 1797958477736312832 |
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| author | SeyedAhmad SeyedAlinaghi Pegah Mirzapour Zahra Pashaei Arian Afzalian Marcarious M. Tantuoyir Roghayeh Salmani Seyed Farzad Maroufi Parinaz Paranjkhoo Seyede Parmis Maroufi Hajar Badri Sanaz Varshochi Farzin Vahedi Esmaeil Mehraeen Omid Dadras |
| author_facet | SeyedAhmad SeyedAlinaghi Pegah Mirzapour Zahra Pashaei Arian Afzalian Marcarious M. Tantuoyir Roghayeh Salmani Seyed Farzad Maroufi Parinaz Paranjkhoo Seyede Parmis Maroufi Hajar Badri Sanaz Varshochi Farzin Vahedi Esmaeil Mehraeen Omid Dadras |
| author_sort | SeyedAhmad SeyedAlinaghi |
| collection | DOAJ |
| description | Abstract Introduction The COVID-19 epidemic and various control and mitigation measures to combat the widespread outbreak of the disease may affect other parts of health care systems. There is a concern that the COVID-19 pandemic could disrupt HIV services. Therefore, this study aimed to systematically evaluate the effect of the COVID-19 pandemic on service delivery and treatment outcomes in people with HIV. Methods In this study, a systematic search was conducted using the keywords in the online databases including Scopus, PubMed, Web of Science, and Cochrane databases. The retrieved articles underwent a two-step title/abstract and full-text review process, and the eligible papers were selected and included in the qualitative synthesis. Result We selected 16 studies out of 529 retrieved records that met the inclusion criteria for this review. Study populations of the selected studies were either HIV-positive patients or HIV clinics and healthcare providers. Most studies were focused on adhering to and obtaining medication and attending clinical appointments and their decrement during the pandemic. Other aspects of HIV care (alternative healthcare settings, viral suppression, psychological care, etc.) were discussed to a lesser extent by the included studies. Conclusion Interruption in in-person visits and medical follow-up services, loss of adherence to treatment, and subsequent increase in mortality due to the COVID-19 pandemic complications in PLHIV have led to growing concerns. Other challenges were psychological disorders such as anxiety and depression, an increase in substance abuse, and a rise in experienced stigma and discrimination. However, the use of telemedicine in some countries helps to alleviate the situation to some extent and is recommended in similar settings in the future. |
| first_indexed | 2024-04-11T00:19:37Z |
| format | Article |
| id | doaj.art-57c405ee3a984f779b4e146871279eaf |
| institution | Directory Open Access Journal |
| issn | 1742-6405 |
| language | English |
| last_indexed | 2024-04-11T00:19:37Z |
| publishDate | 2023-01-01 |
| publisher | BMC |
| record_format | Article |
| series | AIDS Research and Therapy |
| spelling | doaj.art-57c405ee3a984f779b4e146871279eaf2023-01-08T12:21:23ZengBMCAIDS Research and Therapy1742-64052023-01-0120111710.1186/s12981-022-00496-7The impacts of COVID-19 pandemic on service delivery and treatment outcomes in people living with HIV: a systematic reviewSeyedAhmad SeyedAlinaghi0Pegah Mirzapour1Zahra Pashaei2Arian Afzalian3Marcarious M. Tantuoyir4Roghayeh Salmani5Seyed Farzad Maroufi6Parinaz Paranjkhoo7Seyede Parmis Maroufi8Hajar Badri9Sanaz Varshochi10Farzin Vahedi11Esmaeil Mehraeen12Omid Dadras13Iranian Research Center for HIV/AIDS, Iranian Institute for Reduction of High Risk Behaviors, Tehran University of Medical SciencesIranian Research Center for HIV/AIDS, Iranian Institute for Reduction of High Risk Behaviors, Tehran University of Medical SciencesIranian Research Center for HIV/AIDS, Iranian Institute for Reduction of High Risk Behaviors, Tehran University of Medical SciencesSchool of Medicine, Tehran University of Medical SciencesSchool of Medicine, Tehran University of Medical SciencesDepartment of Midwifery, Khalkhal University of Medical SciencesSchool of Medicine, Tehran University of Medical SciencesTurpanjian College of Health Sciences, American University of ArmeniaFaculty of Medicine, Semnan University of Medical SciencesDepartment of Health Information Technology, Khalkhal University of Medical SciencesSchool of Medicine, Tehran University of Medical SciencesSchool of Medicine, Tehran University of Medical SciencesDepartment of Health Information Technology, Khalkhal University of Medical SciencesIranian Research Center for HIV/AIDS, Iranian Institute for Reduction of High Risk Behaviors, Tehran University of Medical SciencesAbstract Introduction The COVID-19 epidemic and various control and mitigation measures to combat the widespread outbreak of the disease may affect other parts of health care systems. There is a concern that the COVID-19 pandemic could disrupt HIV services. Therefore, this study aimed to systematically evaluate the effect of the COVID-19 pandemic on service delivery and treatment outcomes in people with HIV. Methods In this study, a systematic search was conducted using the keywords in the online databases including Scopus, PubMed, Web of Science, and Cochrane databases. The retrieved articles underwent a two-step title/abstract and full-text review process, and the eligible papers were selected and included in the qualitative synthesis. Result We selected 16 studies out of 529 retrieved records that met the inclusion criteria for this review. Study populations of the selected studies were either HIV-positive patients or HIV clinics and healthcare providers. Most studies were focused on adhering to and obtaining medication and attending clinical appointments and their decrement during the pandemic. Other aspects of HIV care (alternative healthcare settings, viral suppression, psychological care, etc.) were discussed to a lesser extent by the included studies. Conclusion Interruption in in-person visits and medical follow-up services, loss of adherence to treatment, and subsequent increase in mortality due to the COVID-19 pandemic complications in PLHIV have led to growing concerns. Other challenges were psychological disorders such as anxiety and depression, an increase in substance abuse, and a rise in experienced stigma and discrimination. However, the use of telemedicine in some countries helps to alleviate the situation to some extent and is recommended in similar settings in the future.https://doi.org/10.1186/s12981-022-00496-7COVID-19ServicesTreatment outcomesPLHIVSARS-CoV-2HIV |
| spellingShingle | SeyedAhmad SeyedAlinaghi Pegah Mirzapour Zahra Pashaei Arian Afzalian Marcarious M. Tantuoyir Roghayeh Salmani Seyed Farzad Maroufi Parinaz Paranjkhoo Seyede Parmis Maroufi Hajar Badri Sanaz Varshochi Farzin Vahedi Esmaeil Mehraeen Omid Dadras The impacts of COVID-19 pandemic on service delivery and treatment outcomes in people living with HIV: a systematic review AIDS Research and Therapy COVID-19 Services Treatment outcomes PLHIV SARS-CoV-2 HIV |
| title | The impacts of COVID-19 pandemic on service delivery and treatment outcomes in people living with HIV: a systematic review |
| title_full | The impacts of COVID-19 pandemic on service delivery and treatment outcomes in people living with HIV: a systematic review |
| title_fullStr | The impacts of COVID-19 pandemic on service delivery and treatment outcomes in people living with HIV: a systematic review |
| title_full_unstemmed | The impacts of COVID-19 pandemic on service delivery and treatment outcomes in people living with HIV: a systematic review |
| title_short | The impacts of COVID-19 pandemic on service delivery and treatment outcomes in people living with HIV: a systematic review |
| title_sort | impacts of covid 19 pandemic on service delivery and treatment outcomes in people living with hiv a systematic review |
| topic | COVID-19 Services Treatment outcomes PLHIV SARS-CoV-2 HIV |
| url | https://doi.org/10.1186/s12981-022-00496-7 |
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