INFLUENCE OF COVID-19 ON HIV ARV TREATMENT ADHERENCE, FOLLOW UP AND NEW CASE DETECTION IN BUEA REGIONAL HOSPITAL
Abstract
Coronavirus disease 2019 (COVID-19) is a disease caused by the novel severe acute respiratory syndrome CoV-2 (SARS-COV-2). Since the onset of this viral infection in December 2019, the world has faced many episodes of lockdown. To fight against this pandemic many COVID treatment centres were created in several hospitals. Patients were no longer frequent hospitals including the HIV care unit due to the fear of contracting the disease. This could have affected the HIV management system.
OBJECTIVES: To evaluate the impact of COVID-19 on HIV ART treatment and HIV new case detection.
This was a hospital-based retrospective analytic study. This study included records and files of HIV patients on ART initiated on treatment and follow-up at the Laquintinie hospital Douala and Buea Regional Hospital from January 2016 to December 2021. The files were divided into two groups including all files from 2016 to 2019 for adherence and visit, and records of all new cases from January 2018 to December 2021, aged 18 years and above. Data were retrieved using a data collection sheet. Analysis was done with SPSS version 25 and excel 2016. The categorical variables were presented using frequencies and proportions and the numerical using mean, median, standard deviation and interquartile range. Statistically, significance was placed at a p-value of <0.05.
There was a significant decrease in the number of patients that visited the treatment centres during the covid period (p=0.01) with a maximum of irregular visits in 2020 and a maximum loss to follow-up in 2021. A good number of patients did not do their viral loads between 2020 and 2021 with a spike in 2020. The adherence decreased during the COVID-19 period, p <0.0001 more than four times maximum in 2020 and the loss to follow up maximum in 2020, the reasons of non-adherence being antiretroviral treatment not taken in time in the pharmacy, appointments not respected with the spike in 2020. The new cases detected during COVID-19 were significantly inferior to the period before (p=0.0003).
Conclusively, COVID-19 had a negative impact on HIV during the period of barrier methods by decreasing the number of patients that visited the treatment centres hence the adherence and the testing. This led to decreased viral load suppression.
Check out: Health Science Project Topics with Materials
| Project Details | |
| Department | Health Science |
| Project ID | HS0062 |
| Price | Cameroonian: 5000 Frs |
| International: $15 | |
| No of pages | 75 |
| Methodology | Descriptive |
| Reference | yes |
| Format | MS word & PDF |
| Chapters | 1-5 |
| Extra Content | table of content, questionnaire |
This is a premium project material, to get the complete research project make payment of 5,000FRS (for Cameroonian base clients) and $15 for international base clients. See details on payment page
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INFLUENCE OF COVID-19 ON HIV ARV TREATMENT ADHERENCE, FOLLOW UP AND NEW CASE DETECTION IN BUEA REGIONAL HOSPITAL
| Project Details | |
| Department | Health Science |
| Project ID | HS0062 |
| Price | Cameroonian: 5000 Frs |
| International: $15 | |
| No of pages | 70 |
| Methodology | Descriptive |
| Reference | yes |
| Format | MS word & PDF |
| Chapters | 1-5 |
| Extra Content | table of content, questionnaire |
Abstract
Coronavirus disease 2019 (COVID-19) is a disease caused by the novel severe acute respiratory syndrome CoV-2 (SARS-COV-2). Since the onset of this viral infection in December 2019, the world has faced many episodes of lockdown. To fight against this pandemic many COVID treatment centres were created in several hospitals. Patients were no longer frequent hospitals including the HIV care unit due to the fear of contracting the disease. This could have affected the HIV management system.
OBJECTIVES: To evaluate the impact of COVID-19 on HIV ART treatment and HIV new case detection.
This was a hospital-based retrospective analytic study. This study included records and files of HIV patients on ART initiated on treatment and follow-up at the Laquintinie hospital Douala and Buea Regional Hospital from January 2016 to December 2021. The files were divided into two groups including all files from 2016 to 2019 for adherence and visit, and records of all new cases from January 2018 to December 2021, aged 18 years and above. Data were retrieved using a data collection sheet. Analysis was done with SPSS version 25 and excel 2016. The categorical variables were presented using frequencies and proportions and the numerical using mean, median, standard deviation and interquartile range. Statistically, significance was placed at a p-value of <0.05.
There was a significant decrease in the number of patients that visited the treatment centres during the covid period (p=0.01) with a maximum of irregular visits in 2020 and a maximum loss to follow-up in 2021. A good number of patients did not do their viral loads between 2020 and 2021 with a spike in 2020. The adherence decreased during the COVID-19 period, p <0.0001 more than four times maximum in 2020 and the loss to follow up maximum in 2020, the reasons of non-adherence being antiretroviral treatment not taken in time in the pharmacy, appointments not respected with the spike in 2020. The new cases detected during COVID-19 were significantly inferior to the period before (p=0.0003).
Conclusively, COVID-19 had a negative impact on HIV during the period of barrier methods by decreasing the number of patients that visited the treatment centres hence the adherence and the testing. This led to decreased viral load suppression.
Check out: Health Science Project Topics with Materials
This is a premium project material, to get the complete research project make payment of 5,000FRS (for Cameroonian base clients) and $15 for international base clients. See details on payment page
NB: It’s advisable to contact us before making any form of payment
Our Fair use policy
Using our service is LEGAL and IS NOT prohibited by any university/college policies. For more details click here
We’ve been providing support to students, helping them make the most out of their academics, since 2014. The custom academic work that we provide is a powerful tool that will facilitate and boost your coursework, grades, and examination results. Professionalism is at the core of our dealings with clients.
For more project materials and info!
Contact us here
OR
Click on the WhatsApp Button at the bottom left
Email: info@project-house.net
