Factors associated with poor access to HIV and sexual and reproductive health services in Nigeria for women and girls living with HIV during the COVID-19 pandemic
Afr. j. AIDS res. (Online)
; 21(2): 171-182, 28 Jul 2022. Tables
Artigo
em Inglês
| AIM
| ID: biblio-1391070
Biblioteca responsável:
CG1.1
ABSTRACT
Aim:
To determine the proportion of women and girls living with HIV (WGLHIV) who had poor access to HIV, tuberculosis and sexual and reproductive health (SRH) services in Nigeria during the COVID-19 pandemic and associated factors.Methods:
This was a cross-sectional study that recruited WGLHIV with six categories of vulnerability (sex work, transactional sex, injecting or using illegal drugs, people on the move, transgender women and people with a disability) through an online survey conducted in ten Nigerian states between June and October 2021. The associations between the limited access to HIV, tuberculosis and SRH services due to COVID-19, the categories of vulnerability and the financial and non-financial barriers to these services were determined using multivariable logistics regression analysis.Results:
Over 6 in 10, almost 2 in 10, and almost 4 in 10 WGLHIV had limited access to HIV, tuberculosis and SRH services respectively during the COVID-19 pandemic. Transgender women had 3.59 (95% CI 2.195.91) higher odds, women who engaged in sex work had 4.51 (95% CI 2.288.42) higher odds, and women who inject or use illegal drugs had 2.39 (95% CI 1.4732.90) higher odds of facing limited access to sexual and reproductive health services when it was needed. In addition, the direct consequences of the COVID-19 crisis, such as the closure of HIV services and SRH service points, exacerbated pre-existing barriers significantly. Having no money, having to pay additional unofficial fees and the lack of security on the road to the health facility were the barriers with the greatest impact on access to health services.Conclusions:
The COVID-19 pandemic had a negative impact on the access of WGLHIV to essential health services. This impact was disproportionately higher for marginalised groups. WGLHIV need non-discriminatory and affordable access to essential health services during the pandemic.
Texto completo:
DisponíveL
Índice:
AIM (África)
Assunto principal:
Tuberculose
/
HIV
/
Populações Vulneráveis
/
Serviços de Saúde Reprodutiva
/
COVID-19
Tipo de estudo:
Estudo observacional
/
Fatores de risco
Idioma:
Inglês
Revista:
Afr. j. AIDS res. (Online)
Ano de publicação:
2022
Tipo de documento:
Artigo
Instituição/País de afiliação:
African Network of Adolescent and Young Persons Development, Barnawa, Nigeria/NG
/
Data Quest, Makurdi, Benue State, Nigeria/NG
/
Department of Employment and Labor Relations, Indiana University of Pennsylvania, Indiana, USA/US
/
Department of Psychology, Enugu State University of Science and Technology, Enugu, Nigeria/NG
/
Department of Sociology, University of Calabar, Calabar, Cross River State, Nigeria/NG
/
Institute of Public Health, College of Health Sciences, Obafemi Awolowo University, Nigeria/NG
/
Jami Al Hakeem Foundation Jimeta-Yola, Nigeria/NG
/
AIDS, Strategic Information, Geneva, Switzerland+FR
/
National Association of Persons with Physical Disability, Abuja, Nigeria/NG
/
Nigeria Institute of Medical Research, Yaba, Lagos State, Nigeria/NG
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