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Diseases and Disparities: The Impact of COVID-19 Disruptions on Sexual and Reproductive Health Services Among the HIV Community in India.
Parikh, Neha; Chaudhuri, Angela; Syam, Syama B; Singh, Pratishtha; Pal, Prachi; Pillala, Praneeth.
  • Parikh N; Swasti Health Catalyst, 25, 3rd Floor, Raghavendra Nilaya, 1st Main Road, AECS Layout, Ashwathnagar, near Paratha Plaza, Bengaluru, Karnataka, 560094, India. parikh.neha@gmail.com.
  • Chaudhuri A; Swasti Health Catalyst, 25, 3rd Floor, Raghavendra Nilaya, 1st Main Road, AECS Layout, Ashwathnagar, near Paratha Plaza, Bengaluru, Karnataka, 560094, India.
  • Syam SB; Swasti Health Catalyst, 25, 3rd Floor, Raghavendra Nilaya, 1st Main Road, AECS Layout, Ashwathnagar, near Paratha Plaza, Bengaluru, Karnataka, 560094, India.
  • Singh P; Swasti Health Catalyst, 25, 3rd Floor, Raghavendra Nilaya, 1st Main Road, AECS Layout, Ashwathnagar, near Paratha Plaza, Bengaluru, Karnataka, 560094, India.
  • Pal P; Institute of Development Studies, University of Sussex, Brighton, UK.
  • Pillala P; PCMH Restore Health, Bangalore, India.
Arch Sex Behav ; 51(1): 315-329, 2022 01.
Article in English | MEDLINE | ID: covidwho-1838358
ABSTRACT
People with HIV navigate numerous challenges to access healthcare in India. The lockdown in response to the COVID-19 pandemic presents further challenges in accessing sexual and reproductive health (SRH) services. This research explored the impact of the pandemic on SRH services, and the depth of disruptions faced by people living with HIV (PLHIV) in accessing treatment. Using purposive sampling with maximum variation technique, we recruited and conducted 150 telephonic in-depth interviews with PLHIV and HIV care providers (HCPs) from five states in India (Karnataka, Tamil Nadu, Maharashtra, Andhra Pradesh, and Telangana). The interviews were recorded, transcribed, coded, and analyzed using interpretative phenomenological analysis. Five main themes were identified the effect of COVID-19 on (1) access to care, (2) quality of care, (3) social determinants of health, (4) system and community resilience, and (5) support required to address population-specific vulnerabilities. Despite the availability of free government treatment services during the pandemic, profound disruptions in the SRH services, particularly antiretroviral therapy and HIV care, were reported by PLHIV and HCPs. This qualitative study revealed how existing inequities in HIV treatment and care are exacerbated by the pandemic. These findings highlight that the pandemic response should be community-centered to prevent extreme disruptions in healthcare which will have a disastrous effect on the lives of PLHIV.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: HIV Infections / Reproductive Health Services / COVID-19 Type of study: Experimental Studies / Observational study / Qualitative research Limits: Humans Country/Region as subject: Asia Language: English Journal: Arch Sex Behav Year: 2022 Document Type: Article Affiliation country: S10508-021-02211-5

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Full text: Available Collection: International databases Database: MEDLINE Main subject: HIV Infections / Reproductive Health Services / COVID-19 Type of study: Experimental Studies / Observational study / Qualitative research Limits: Humans Country/Region as subject: Asia Language: English Journal: Arch Sex Behav Year: 2022 Document Type: Article Affiliation country: S10508-021-02211-5