The HIV /AIDS pandemic is a major public health problem. COVID-19 infection has impacted the national health system. It was deemed necessary to study the continuity of HIV-related services in Senegal. An analytical cross-sectional study was conducted. The study populations were represented by all PLHIV who joined the active queue between March 2020 and February 2021. A multi-stage survey was conducted at the district level. Univariate and multivariate analyses were carried out using the SPSS version 2022 software. The mean age of patients was 43.38 years ±13.22. More than half of PLHIV were educated (53.13%) and married (55.47%) with a majority of the female sex 66.41%. Among the respondents, 66.13% were engaged in income-generating activities, of which 86.42% were in the informal sector. More than half of the respondents 67.50% had a monthly income of less than 55,000 FCFA. Television was the main source of information (51.56%). Almost all PLHIV (96.88%) had continued to seek counselling services. The majority (93.55%) had performed at least one follow-up para-clinical assessment with an average delay of 7.54±8.64 months. More than half (71.55%) of PLHIV were very satisfied with the follow-up consultation and assessment services offered. Among the 85 PLHIV surveyed, (9.41%) were pregnant or had given birth within the last 12 months. PLHIV for whom COVID-19 negatively impacted the continuity of services accounted for 16.41%. The discontinuity of HIV care services was higher in male subjects with an adjusted OR 4.61 [1.58-13.51]. Subjects who had no income-generating activity were at greater risk of experiencing care service discontinuity with an adjusted OR 3.13 [1.10-9.23]. The results of this work suggest to health authorities to reorganize the health system and adopt a policy based on the community approach and to populations to overcome the "fear of COVID-19".
Published in | International Journal of Health Economics and Policy (Volume 8, Issue 4) |
DOI | 10.11648/j.hep.20230804.14 |
Page(s) | 112-116 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2023. Published by Science Publishing Group |
Continuity, Services, HIV Prevention, COVID-19, Senegal
[1] | ONUSIDA. Vue d’ensemble de l’épidémie de SIDA/2019. Diapositives clés sur les données épidémiologiques [Internet]. 2020 [cité 11 nov 2021]. Disponible sur: https://www.unaids.org/fr/resources/documents/2020/core-epidemiology-slides |
[2] | Conseil national de lutte contre le SIDA. Rapport annuel 2020 [Internet]. 2021. Disponible sur: https://www.clnssenegal.org/documents/rapports/annuels-4 |
[3] | ONUSIDA. 90-90-90: traitement pour tous [Internet]. 2020 [cité 26 oct 2021]. Disponible sur: https://www.unaids.org/fr/resources/909090 |
[4] | Mbaye. M. Ng ETUDE DE LA CONTINUITE DES SOINS LIES AU VIH EN PERIODE DE PANDEMIE DE COVID-19 ENTRE MARS 2020 ET FEVRIER 2021 AU SENEGAL. Thèse Medecine UCAD; 2021; N°389. |
[5] | Ly A. Aspects épidémiologiques, cliniques, paracliniques, thérapeutiques et évolutifs des personnes vivant avec le VIH suivies au District Sanitaire de Matam (Sénégal) de Janvier 2005 à Décembre 2020 (à propos de 392 cas). Thèse Medecine UCAD; 2022; N°56. |
[6] | Coulibaly JC. Les affections neuroméningées au cours de l’infection à VIH à la clinique des maladies infectieuses du CHNU de Fann: prévalence et facteurs associés au décès [thèse de médecine]. [Dakar]: Université Cheikh Anta Diop; 2013. N°29. |
[7] | Loua A, Dramou CD, Haba NY, Magassouba FB, Lamah M, Camara A, et al. Haematological profile of patients infected with HIV in Conakry. Hématologie. sept 2011; 17 (5): 365; 9. |
[8] | CMIT. E. Pilly Maladies infectieuses et tropicales [Internet]. 25e éd. 2016 [cité 18 nov 2021]. Disponible sur: https://www.decitre.fr/livres/e-9782916641645.html |
[9] | ONUSIDA. Fiche d’information 2020 — Dernières statistiques sur l’état de l’épidémie de sida [Internet]. 2021 [cité 11 nov 2021]. Disponible sur: http://unaids.mio.guru/fr/resources/fact-sheet |
[10] | Barre-Sinoussi F, Girard PM, Katlama CH, Pialoux G. Virologie fondamentale de l’infection à VIH. In: ed. VIH. Paris: Doin; 2004: 3-9. |
[11] | Diop CA. Décentralisation de la prise en charge des personnes vivant avec le VIH/SIDA au Sénégal: Expérience du district sanitaire de Thilogne (à propos de 126 cas) de 2012 à 2017. Thèse Méd. Dakar: UCAD; 2017; N°140. |
[12] | Sidibé T. Evaluation de la décentralisation de la prise en charge de l’infection à VIH/SIDA au Sénégal: Expérience du district sanitaire de Gossas. Thèse Méd. Dakar: UCAD; 2015; N°139. |
[13] | OkomeNMM, Okome ER, ObiangGP, OkomeMF. Bilan clinique et biologique des patients infectés par le VIH à la fondation Jeanne Ebori de Libreville, Gabon (2002-2005). Méd trop. 2007 Aug; 67 (4): 357-62. |
[14] | De La Tribonnière X, Pugliese P, Cabié A, Cuzin L, Billaud E, Martin IP, et al. Caractéristiques démographiques, cliniques, immunovirologiques et thérapeutique de 8714 patients infectés par le VIH de la cohorte Nadis en 2006. Med Mal Infect. 2008. |
[15] | Coulibaly AM. Mortalité sous trithérapie ARV: prévalence et facteurs associés chez les patients infectés par le VIH sous traitement ARV DE 1ere ligne suivis au centre de traitement ambulatoire du CHNU de FANN de Dakar [Thèse de médecine]. [Dakar]: Université Cheikh Anta Diop; 2012. N°228. |
[16] | Djikoldingan D. Impact de la prise en charge décentralisée sur le profil évolutif des PVVIH: l’exemple du district sanitaire de LERE au Tchad du 1er novembre 2005 au 31 octobre 2007. Mémoire CES Maladies infectieuses et tropicales; 2010. |
[17] | Painter TM. Voluntary counseling and testing for couples: a high-leverage intervention for HIV/AIDS prevention in sub-Saharan Africa. Soc Sci Med. 2001 Dec; 53 (11): 1397-411. |
[18] | Seydi M, Diop SA, Niang K, Sow AD, Soumaré M, Sow S, et al. Aspects épidémiologiques, cliniques et psychosociaux au cours du sida à Dakar: étude préliminaire prospective. Medecine Et Maladies Infectieuses-MED MAL INFECT. 2009; 39. |
[19] | ANSD. Enquête sur le secteur informel au Sénégal, rapport final. 2011. |
[20] | DIAW M. Connaissances, attitudes et pratiques de la population dakaroise sur l’infection liée au nouveau coronavirus (covid-19) au Sénégal [Thèse de médecine]. [Dakar]: Université Cheikh Anta Diop; 2021. N°19. |
[21] | Zhang X-B, Hu L, Ming Q, Wei X-J, Zhang Z-Y, Chen L-D, et al. Risk factors for mortality of coronavirus disease-2019 (COVID-19) patients in two centers of Hubei province, China: A retrospective analysis. PloS One. 2021; 16 (1): e0246030. |
[22] | Statista. Taux de mortalité par âge du coronavirus COVID-19 en Chine 2020 [Internet]. Statista. 2021 [cité 17 nov 2021]. Disponible sur: https://fr.statista.com/statistiques/1101556/mortalite-age-coronavirus-chine/ |
[23] | Verity R, Okell LC, Dorigatti I, Winskill P, Whittaker C, Imai N, et al. Estimates of the severity of coronavirus disease 2019: a model-based analysis. Lancet Infect Dis. 1 juin 2020; 20 (6): 669; 77. |
[24] | Cenné L, Université de Liège > Master sc. santé publ. ÀF. Exploration des expériences vécues par les patients atteints de maladies chroniques en matière d’accompagnement éducatif à distance durant la crise de la COVID-19. 22 juin 2021 [cité 17 nov 2021]; Disponible sur: https://matheo.uliege.be/handle/2268.2/11884 |
[25] | Le monde. En Afrique subsaharienne, le nombre de morts du sida menace de doubler à cause du coronavirus [Internet]. 2020 [cité 19 nov 2021]. Disponible sur: https://www.lemonde.fr/afrique/article/2020/05/12/en-afrique-subsaharienne-le-nombre-de-morts-du-sida-menace-de-doubler-a-cause-du-coronavirus_6039401_3212.html |
[26] | Fomba Kamga B, Ndonou Tchoumdop ME, Nda’chi Deffo R. Impacts des politiques publiques liées a la pandemie de la COVID-19 sur le secteur informel, les femmes et les jeunes: cas du Burkina Faso, du Cameroun, de la Côte d’Ivoire et du Senegal: desktop review du Cameroun. 2021. |
APA Style
Cheikh Tacko, D., Boubacar, G., Coly Bop, M., Mansour Bouna, D., Mamadou Mactar Mbacké, L., et al. (2023). Continuity of HIV-Related Care in the Central Districts of Senegal During the COVID-19 Pandemic Period Between March 2020 and February 2021. International Journal of Health Economics and Policy, 8(4), 112-116. https://doi.org/10.11648/j.hep.20230804.14
ACS Style
Cheikh Tacko, D.; Boubacar, G.; Coly Bop, M.; Mansour Bouna, D.; Mamadou Mactar Mbacké, L., et al. Continuity of HIV-Related Care in the Central Districts of Senegal During the COVID-19 Pandemic Period Between March 2020 and February 2021. Int. J. Health Econ. Policy 2023, 8(4), 112-116. doi: 10.11648/j.hep.20230804.14
AMA Style
Cheikh Tacko D, Boubacar G, Coly Bop M, Mansour Bouna D, Mamadou Mactar Mbacké L, et al. Continuity of HIV-Related Care in the Central Districts of Senegal During the COVID-19 Pandemic Period Between March 2020 and February 2021. Int J Health Econ Policy. 2023;8(4):112-116. doi: 10.11648/j.hep.20230804.14
@article{10.11648/j.hep.20230804.14, author = {Diop Cheikh Tacko and Gueye Boubacar and Martial Coly Bop and Diop Mansour Bouna and Leye Mamadou Mactar Mbacké and Ka Ousseynou}, title = {Continuity of HIV-Related Care in the Central Districts of Senegal During the COVID-19 Pandemic Period Between March 2020 and February 2021}, journal = {International Journal of Health Economics and Policy}, volume = {8}, number = {4}, pages = {112-116}, doi = {10.11648/j.hep.20230804.14}, url = {https://doi.org/10.11648/j.hep.20230804.14}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.hep.20230804.14}, abstract = {The HIV /AIDS pandemic is a major public health problem. COVID-19 infection has impacted the national health system. It was deemed necessary to study the continuity of HIV-related services in Senegal. An analytical cross-sectional study was conducted. The study populations were represented by all PLHIV who joined the active queue between March 2020 and February 2021. A multi-stage survey was conducted at the district level. Univariate and multivariate analyses were carried out using the SPSS version 2022 software. The mean age of patients was 43.38 years ±13.22. More than half of PLHIV were educated (53.13%) and married (55.47%) with a majority of the female sex 66.41%. Among the respondents, 66.13% were engaged in income-generating activities, of which 86.42% were in the informal sector. More than half of the respondents 67.50% had a monthly income of less than 55,000 FCFA. Television was the main source of information (51.56%). Almost all PLHIV (96.88%) had continued to seek counselling services. The majority (93.55%) had performed at least one follow-up para-clinical assessment with an average delay of 7.54±8.64 months. More than half (71.55%) of PLHIV were very satisfied with the follow-up consultation and assessment services offered. Among the 85 PLHIV surveyed, (9.41%) were pregnant or had given birth within the last 12 months. PLHIV for whom COVID-19 negatively impacted the continuity of services accounted for 16.41%. The discontinuity of HIV care services was higher in male subjects with an adjusted OR 4.61 [1.58-13.51]. Subjects who had no income-generating activity were at greater risk of experiencing care service discontinuity with an adjusted OR 3.13 [1.10-9.23]. The results of this work suggest to health authorities to reorganize the health system and adopt a policy based on the community approach and to populations to overcome the "fear of COVID-19". }, year = {2023} }
TY - JOUR T1 - Continuity of HIV-Related Care in the Central Districts of Senegal During the COVID-19 Pandemic Period Between March 2020 and February 2021 AU - Diop Cheikh Tacko AU - Gueye Boubacar AU - Martial Coly Bop AU - Diop Mansour Bouna AU - Leye Mamadou Mactar Mbacké AU - Ka Ousseynou Y1 - 2023/11/09 PY - 2023 N1 - https://doi.org/10.11648/j.hep.20230804.14 DO - 10.11648/j.hep.20230804.14 T2 - International Journal of Health Economics and Policy JF - International Journal of Health Economics and Policy JO - International Journal of Health Economics and Policy SP - 112 EP - 116 PB - Science Publishing Group SN - 2578-9309 UR - https://doi.org/10.11648/j.hep.20230804.14 AB - The HIV /AIDS pandemic is a major public health problem. COVID-19 infection has impacted the national health system. It was deemed necessary to study the continuity of HIV-related services in Senegal. An analytical cross-sectional study was conducted. The study populations were represented by all PLHIV who joined the active queue between March 2020 and February 2021. A multi-stage survey was conducted at the district level. Univariate and multivariate analyses were carried out using the SPSS version 2022 software. The mean age of patients was 43.38 years ±13.22. More than half of PLHIV were educated (53.13%) and married (55.47%) with a majority of the female sex 66.41%. Among the respondents, 66.13% were engaged in income-generating activities, of which 86.42% were in the informal sector. More than half of the respondents 67.50% had a monthly income of less than 55,000 FCFA. Television was the main source of information (51.56%). Almost all PLHIV (96.88%) had continued to seek counselling services. The majority (93.55%) had performed at least one follow-up para-clinical assessment with an average delay of 7.54±8.64 months. More than half (71.55%) of PLHIV were very satisfied with the follow-up consultation and assessment services offered. Among the 85 PLHIV surveyed, (9.41%) were pregnant or had given birth within the last 12 months. PLHIV for whom COVID-19 negatively impacted the continuity of services accounted for 16.41%. The discontinuity of HIV care services was higher in male subjects with an adjusted OR 4.61 [1.58-13.51]. Subjects who had no income-generating activity were at greater risk of experiencing care service discontinuity with an adjusted OR 3.13 [1.10-9.23]. The results of this work suggest to health authorities to reorganize the health system and adopt a policy based on the community approach and to populations to overcome the "fear of COVID-19". VL - 8 IS - 4 ER -