|
1
|
Tran DN, Ching J, Kafu C, Wachira J, Koros H, Venkataramani M, Said J, Pastakia SD, Galárraga O, Genberg BL. Interruptions to HIV Care Delivery During Pandemics and Natural Disasters: A Qualitative Study of Challenges and Opportunities From Frontline Healthcare Providers in Western Kenya. J Int Assoc Provid AIDS Care 2023; 22:23259582231152041. [PMID: 36718505 PMCID: PMC9893388 DOI: 10.1177/23259582231152041] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023] Open
Abstract
During public health crises, people living with HIV (PLWH) may become disengaged from care. The goal of this study was to understand the impact of the COVID-19 pandemic and recent flooding disasters on HIV care delivery in western Kenya. We conducted ten individual in-depth interviews with HIV providers across four health facilities. We used an iterative and integrated inductive and deductive data analysis approach to generate four themes. First, increased structural interruptions created exacerbating strain on health facilities. Second, there was increased physical and psychosocial burnout among providers. Third, patient uptake of services along the HIV continuum decreased, particularly among vulnerable patients. Finally, existing community-based programs and teleconsultations could be adapted to provide differentiated HIV care. Community-centric care programs, with an emphasis on overcoming the social, economic, and structural barriers will be crucial to ensure optimal care and limit the impact of public health disruptions on HIV care globally.
Collapse
Affiliation(s)
- Dan N Tran
- Department of Pharmacy Practice, Temple University School of Pharmacy, Philadelphia, PA, USA.,The 430902Academic Model Providing Access to Healthcare, Eldoret, Kenya
| | - Jennifer Ching
- Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MA, USA
| | - Catherine Kafu
- The 430902Academic Model Providing Access to Healthcare, Eldoret, Kenya.,Department of Media Studies, University of Witwatersrand School of Literature, Language and Media, Johannesburg, South Africa
| | - Juddy Wachira
- Department of Mental Health & Behavioral Sciences, 130188Moi University School of Medicine, Eldoret, Kenya
| | - Hillary Koros
- The 430902Academic Model Providing Access to Healthcare, Eldoret, Kenya
| | - Maya Venkataramani
- Department of Medicine, 1500Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | - Jamil Said
- The 430902Academic Model Providing Access to Healthcare, Eldoret, Kenya.,Department of Human Anatomy, 130188Moi University School of Medicine, Eldoret, Kenya
| | - Sonak D Pastakia
- The 430902Academic Model Providing Access to Healthcare, Eldoret, Kenya.,Center for Health Equity and Innovation, Purdue University School of Pharmacy, Indianapolis, IN, USA
| | - Omar Galárraga
- Department of Health Services, Policy & Practice, 174610Brown University School of Public Health, Providence, RI, USA
| | - Becky L Genberg
- Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MA, USA
| |
Collapse
|
|
2
|
Li M, Zhou B, Hu B. Relationship between Income and Mental Health during the COVID-19 Pandemic in China. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19158944. [PMID: 35897317 PMCID: PMC9330058 DOI: 10.3390/ijerph19158944] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/09/2022] [Revised: 07/08/2022] [Accepted: 07/20/2022] [Indexed: 12/30/2022]
Abstract
Mental health problems represent one most pressing concerns in the world, which produce costly consequences for individuals, families and society as a whole. One of the determinants on mental health during the COVID-19 pandemic is income. To complement relevant research and provide valuable recommendations for governments and societies, this study investigates the nexus between income and mental health in China by employing 8049 observations from the 2020 China Family Panel Studies. Using ordinary least squares regression we find the significant positive relationship between income and mental health, and estimate the effect of income on mental health. Furthermore, this effect is heterogeneous depending on individuals’ education level and registered residence type. Finally, individuals’ economic status and happiness are shown to be the potential mechanism through which the effect of income on mental health operates.
Collapse
Affiliation(s)
- Mingna Li
- School of Literature, Changchun University, Changchun 130012, China;
| | - Bo Zhou
- School of Economy, Jilin University, Changchun 130012, China
- Correspondence:
| | - Bingbin Hu
- School of Northeast Asian, Jilin University, Changchun 130012, China;
| |
Collapse
|