Addressing the migrant gap: maternal healthcare perspectives on utilising prevention of mother to child transmission (PMTCT) services during the COVID-19 pandemic, South Africa

Bisnauth, Melanie A.; Coovadia, Ashraf; Kawonga, Mary; Vearey, Jo

doi:10.1080/16549716.2022.2100602

Cited by 2 publications

(3 citation statements)

References 30 publications

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“…This remark was made during the interviews with 40 migrants, including 18 from within the country and 22 from overseas. This was brought on by border restrictions that hampered compliance and restricted their access to ARVs throughout the pandemic [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

The hidden effects of COVID-19 on HIV services in Zanzibar: country report

Mshenga,

Khalid,

Haji

et al. 2023

AIDS Res Ther

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The COVID-19 pandemic has had a major effect on HIV-related healthcare services. Zanzibar has experienced several interruptions of HIV services in the areas of testing and counselling, prevention of mother-to-child transmission of HIV, key population, care and treatment services as well due to the hospital operating at a reduced capacity and the strict visit restrictions with health care allocations to COVID 19 pandemic. The community HIV initiatives, such as index testing and ARVs medicine refills, were used to mitigate the consequences of the epidemic and can be applied in future emergencies. This report tries to reveal COVID-19’s unnoticed consequences on HIV services in Zanzibar.

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Section: Discussionmentioning

confidence: 99%

The hidden effects of COVID-19 on HIV services in Zanzibar: country report

Mshenga,

Khalid,

Haji

et al. 2023

AIDS Res Ther

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“…Taken together, these studies have demonstrated that the pandemic has exacerbated existing barriers to care in these settings, including structural, clinical, and psychosocial barriers that affect access to perinatal pre-exposure prophylaxis (PrEP) and postexposure prophylaxis, HIV testing, and ART. [10][11][12][13] Public health measures implemented in March of 2020 in British Columbia (BC) included restrictions to mass gatherings, closure of various service establishments, and restriction to travel. 14 Such measures would have negatively affected peer support and social connection, which are critical adjunctive measures to clinical care for people living with HIV.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Retrospective Cohort Study on the Impact of the COVID-19 Pandemic on Pregnancy Outcomes for Women Living With HIV in British Columbia

Fu,

McClymont,

Av-Gay

et al. 2024

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Background: For pregnant women living with HIV (WLWH), engagement in care is crucial to maternal health and reducing the risk of perinatal transmission. To date, there have been no studies in Canada examining the impact of the COVID-19 pandemic on pregnant WLWH. Methods: This was a retrospective cohort study assessing the impact of the pandemic on perinatal outcomes for pregnant WLWH using data from the Perinatal HIV Surveillance Program in British Columbia, Canada. We compared maternal characteristics, pregnancy outcomes, and clinical indicators related to engagement with care between a prepandemic (January 2017–March 2020) and pandemic cohort (March 2020–December 2022). We investigated preterm birth rates with explanatory variables using logistic regression analysis. Results: The prepandemic cohort (n = 87) had a significantly (P < 0.05) lower gestational age at the first antenatal encounter (9.0 vs 11.8) and lower rates of preterm births compared with the pandemic cohort (n = 56; 15% vs 37%). Adjusted odds of preterm birth increased with the presence of substance use in pregnancy (aOR = 10.45, 95% confidence interval: 2.19 to 49.94) in WLWH. There were 2 cases of perinatal transmission of HIV in the pandemic cohort, whereas the prepandemic cohort had none. Conclusions: The pandemic had pronounced effects on pregnant WLWH and their infants in British Columbia including higher rates of preterm birth and higher gestational age at the first antenatal encounter. The nonstatistically significant increase in perinatal transmission rates is of high clinical importance.

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Addressing the migrant gap: maternal healthcare perspectives on utilising prevention of mother to child transmission (PMTCT) services during the COVID-19 pandemic, South Africa

Cited by 2 publications

References 30 publications

The hidden effects of COVID-19 on HIV services in Zanzibar: country report

The hidden effects of COVID-19 on HIV services in Zanzibar: country report

Retrospective Cohort Study on the Impact of the COVID-19 Pandemic on Pregnancy Outcomes for Women Living With HIV in British Columbia

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