@article{20b12f1664af430eb22c5f65971045fb,
title = "Interruptions to HIV Care Delivery During Pandemics and Natural Disasters: A Qualitative Study of Challenges and Opportunities From Frontline Healthcare Providers in Western Kenya",
abstract = "During public health crises, people living with HIV (PLWH) may become disengaged from care. The goal of this study was to understand the impact of the COVID-19 pandemic and recent flooding disasters on HIV care delivery in western Kenya. We conducted ten individual in-depth interviews with HIV providers across four health facilities. We used an iterative and integrated inductive and deductive data analysis approach to generate four themes. First, increased structural interruptions created exacerbating strain on health facilities. Second, there was increased physical and psychosocial burnout among providers. Third, patient uptake of services along the HIV continuum decreased, particularly among vulnerable patients. Finally, existing community-based programs and teleconsultations could be adapted to provide differentiated HIV care. Community-centric care programs, with an emphasis on overcoming the social, economic, and structural barriers will be crucial to ensure optimal care and limit the impact of public health disruptions on HIV care globally.",
keywords = "Pandemics, community-based care, differentiated care, natural disasters, social determinants of health",
author = "Tran, {Dan N.} and Jennifer Ching and Catherine Kafu and Juddy Wachira and Hillary Koros and Maya Venkataramani and Jamil Said and Pastakia, {Sonak D.} and Omar Gal{\'a}rraga and Genberg, {Becky L.}",
note = "Funding Information: We thank the administrative leadership and the clinicians for taking the time to share their stories. We also thank the AMPATH Social and Behavioral Team for their expertise in conducting the interviews. The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study was funded by the Johns Hopkins Alliance for a Healthier World Launchpad Grant. Authors DNT, CK, JW, JS, SP, OG, and BLG are also supported by the National Institute of Mental Health of the National Institutes of Health under award number 5R01MH118075. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. The content of this work is solely the responsibilities of the authors and does not necessarily represent official views of the Johns Hopkins Alliance for A Healthier World or the National Institutes of Health. Funding Information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study was funded by the Johns Hopkins Alliance for a Healthier World Launchpad Grant. Authors DNT, CK, JW, JS, SP, OG, and BLG are also supported by the National Institute of Mental Health of the National Institutes of Health under award number 5R01MH118075. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. The content of this work is solely the responsibilities of the authors and does not necessarily represent official views of the Johns Hopkins Alliance for A Healthier World or the National Institutes of Health. Publisher Copyright: {\textcopyright} The Author(s) 2023.",
year = "2023",
month = jan,
day = "1",
doi = "10.1177/23259582231152041",
language = "English (US)",
volume = "22",
journal = "Journal of the International Association of Providers of AIDS Care",
issn = "2325-9574",
publisher = "SAGE Publications Inc.",
}