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. 2024 Jun;24(2):19-31.
doi: 10.4314/ahs.v24i2.4.

The impact of COVID-19-induced lockdowns on Antiretroviral-Therapy (ART) adherence by HIV/AIDs patients on ART in the city of Bulawayo in Zimbabwe

Mjabuli Jamela  1 , Macide Artac Özdal  1
Affiliations

The impact of COVID-19-induced lockdowns on Antiretroviral-Therapy (ART) adherence by HIV/AIDs patients on ART in the city of Bulawayo in Zimbabwe

Mjabuli Jamela et al. Afr Health Sci. 2024 Jun.

Abstract

Background: Zimbabwe has one of the highest HIV prevalence rates in the world. HIV treatment was initiated in 2004 and expanded to 94% coverage rate by the 2020.

Objectives: i) to determine the level of treatment adherence during COVID-19-induced lockdowns and ii) to investigate the key determinants of adherence to ART during COVID-19-induced lockdowns.

Methods: The cross sectional study involved 392 people living with HIV (PLHIV) and was conducted at nine health facilities in Bulawayo City. Data was analysed using the Shapiro-wilk test for normality, Chi-squared test, Kaiser-Meyer-Olkin (KMO), Bartlett's test, exploratory factor analysis, reliability analysis, scree plot, correlation analysis and multiple linear regression analysis.

Results: 94.6% of the respondents took their ARTs on time, and 90.6% did not miss any treatment review. The factors influencing treatment adherence were health systems (beta value 0.334), Family support (beta value 0.138) and knowledge/understanding of treatment (beta value 0.109). Health outcome concerns (beta value -0.194) and food security and livelihoods (beta value 0.191).

Conclusion: Three factors had a positive impact on treatment adherence namely, functional health systems, family support, and knowledge or understanding of health treatment, while two factors namely health outcome concerns and food security and livelihoods negatively impacted treatment adherence.

Keywords: Bulawayo; HIV/AIDs patients; Impact of COVID-19-induced lockdowns; Zimbabwe.

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Conflict of interest statement

The authors declare that they have no conflict of interest.

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