Health workers’ responses to covid-19 pandemic’s impact on service delivery to adolescents in hiv treatment in cape town, south africa: a qualitative study

dc.contributor.authorMayman, Yolanda
dc.contributor.authorCrowley, Talitha
dc.contributor.authorvan Wyk, Brian
dc.date.accessioned2025-01-22T09:35:17Z
dc.date.available2025-01-22T09:35:17Z
dc.date.issued2024
dc.description.abstractAdolescents living with HIV (ALHIVs) are considered a priority population in the fight against HIV, requiring dedicated services. The COVID-19 pandemic and subsequent disruptions deprived ALHIVs on antiretroviral therapy (ART) of the care and social support essential for treatment adherence and positive treatment outcomes. This study describes health managers’ and healthcare workers’ responses to the impact of COVID-19 on service delivery to ALHIVs in HIV treatment in the Cape Town Metropole. A descriptive qualitative design was employed, where semi-structured individual interviews (n = 13) were conducted with senior and programme managers as well as healthcare workers between April and October 2023. Inductive thematic analysis was performed using Atlas.ti version 23. Two main themes emerged from these interviews: “HIV service delivery to adolescents during the COVID-19 pandemic” and “Lessons learnt—the way forward”. The de-escalation of health services at primary health facilities and the disruption of HIV services resulted in disengagement from care by ALHIVs, increasing mental health and treatment challenges. This warrants the restoration of psychosocial support services and the re-engagement of ALHIVs. The findings from this study can function as a guide for health systems and healthcare providers to navigate future pandemics to ensure that vulnerable populations such as ALHIVs continue to receive care and treatment.
dc.identifier.citationMayman, Y., Crowley, T. and van Wyk, B., 2024, March. Health Workers’ Responses to COVID-19 Pandemic’s Impact on Service Delivery to Adolescents in HIV Treatment in Cape Town, South Africa: A Qualitative Study. In Healthcare (Vol. 12, No. 6, p. 609). MDPI.
dc.identifier.urihttps://doi.org/10.3390/healthcare12060609
dc.identifier.urihttps://hdl.handle.net/10566/19905
dc.language.isoen
dc.publisherMultidisciplinary Digital Publishing Institute (MDPI)
dc.subjectdherence
dc.subjectadolescents
dc.subjectantiretroviral therapy
dc.subjectCOVID-19
dc.subjectengagement
dc.titleHealth workers’ responses to covid-19 pandemic’s impact on service delivery to adolescents in hiv treatment in cape town, south africa: a qualitative study
dc.typeArticle

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