Recovery of HIV service provision post-earthquake
| Autor: | Jordan W. Tappero, Kurt Jean-Charles, Jean S. Valles, Barbara J. Marston, Jennifer F. Sabatier, Edieu Louissant, Jenny A. Walldorf, Patrice Joseph |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Counseling
Male Program evaluation Pediatrics medicine.medical_specialty Service provision Voluntary counseling and testing Immunology Human immunodeficiency virus (HIV) Developing country Hiv testing medicine.disease_cause Health Services Accessibility Acquired immunodeficiency syndrome (AIDS) HIV Seropositivity Earthquakes Humans Immunology and Allergy Medicine business.industry virus diseases Emergency plan Patient Acceptance of Health Care medicine.disease Haiti Infectious Disease Transmission Vertical Infectious Diseases Population Surveillance Female business Delivery of Health Care Demography |
| Zdroj: | AIDS. 26:1431-1436 |
| ISSN: | 0269-9370 |
| DOI: | 10.1097/qad.0b013e328352d032 |
| Popis: | OBJECTIVE: To describe the level of functionality of President's Emergency Plan for AIDS Relief (PEPFAR)-supported HIV clinical services following the devastating earthquake that struck Haiti in January 2010. DESIGN: Available program-monitoring data from sites providing voluntary counseling and testing for HIV (VCT), antenatal care (ANC) and prevention of mother-to-child transmission (PMTCT) services, and antiretroviral treatment (ART) were described, comparing pre-earthquake and post-earthquake periods during October 2008 to May 2010. METHODS: Pre-earthquake HIV service baselines for VCT, PMTCT, and ART enrollment were defined as monthly mean total number of patients served over 15 months pre-earthquake. ART baseline was defined as total current patients by December 2009. Sites were categorized as high-earthquake or low-earthquake intensity based on location and instrumental shake intensity data. RESULTS: Pre-earthquake mean monthly baselines were 41 087 (VCT), 11 909 (HIV testing at ANC sites), 648 (ART enrollment), and 296 (PMTCT enrollment); baseline total current patients on ART was 24 863. Service provision in January and May 2010, reported as percentage of baseline, was 43 and 78.7% (VCT), 50.8 and 88.7% (HIV testing at ANC), 46 and 81% (PMTCT), and 41 and 82.7% (ART enrollment), respectively. Current patients on ART decreased to 97% of baseline in April, rising to 103.9% by May; the initial decline was restricted to high-earthquake intensity areas. CONCLUSION: Following the Haiti earthquake, there was a transient, marked decline in VCT and new ART patient enrollment, whereas follow-up of established ART patients remained impressively high. HIV treatment continuity should be reinforced in disaster preparedness and response strategies in HIV epidemic settings. |
| Databáze: | OpenAIRE |
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