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Response of Care Services for Patients with HIV/AIDS during a Pandemic: Perspectives of Health Staff in Bolivia

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  • Liseth Lourdes Arias López

    (OH TARGET Competence Center, Universidad San Francisco Xavier de Chuquisaca, Estudiantes, 96, Sucre P.O. Box 212, Bolivia)

  • Maria Teresa Solis-Soto

    (OH TARGET Competence Center, Universidad San Francisco Xavier de Chuquisaca, Estudiantes, 96, Sucre P.O. Box 212, Bolivia
    Occupational and Environmental Epidemiology & Net Teaching Unit, Institute for Occupational, Social and Environmental Medicine, University Hospital Munich (LMU), Ziemssenstr. 1, 80336 Munich, Germany
    Center for International Health, University Hospital Munich (LMU), Ziemssenstr. 1, 80336 Munich, Germany)

Abstract

The COVID-19 pandemic has caused an unprecedented crisis striking health services, generating risks of setbacks in health care and affecting the most vulnerable populations such as HIV patients. This study aims to explore the impact of the COVID-19 pandemic on the operational management of health services for people living with HIV/AIDS in Cochabamba, Bolivia. We applied a qualitative approach using semi-structured in-depth interviews with ten key health professionals who care for patients with HIV/AIDS in Cochabamba, Bolivia. Interviews were transcribed verbatim and uploaded to Atlas.ti software for analysis. We used an ethnographic approach within the interpretive paradigm to carry out the thematic analysis, considering the “Determinants of health systems resilience framework” of five dimensions developed by the World Health Organization. Even though the provision of services in public care services was not interrupted during the COVID-19 pandemic, health service delivery was severely affected. Digital technology could be used to compensate in urban areas. Regarding the distribution of medications, adaptative strategies to reduce patient complications were implemented. Unfortunately, the complementary tests availability was limited. The COVID-19 pandemic had a significant impact on HIV/AIDS patient care services in Cochabamba, with repercussions for HIV treatment access and virologic suppression.

Suggested Citation

  • Liseth Lourdes Arias López & Maria Teresa Solis-Soto, 2022. "Response of Care Services for Patients with HIV/AIDS during a Pandemic: Perspectives of Health Staff in Bolivia," IJERPH, MDPI, vol. 19(20), pages 1-16, October.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:20:p:13515-:d:946676
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    References listed on IDEAS

    as
    1. Marie A. Brault & Sten H. Vermund & Muktar H. Aliyu & Saad B. Omer & Dave Clark & Donna Spiegelman, 2021. "Leveraging HIV Care Infrastructures for Integrated Chronic Disease and Pandemic Management in Sub-Saharan Africa," IJERPH, MDPI, vol. 18(20), pages 1-14, October.
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