| Title: |
Effect of COVID-19 on HIV, tuberculosis, and prevention of mother-to-child transmission of HIV indicators in Mopani district, South Africa |
| Authors: |
Mutyambizi, C; Dunlop, J; Maluleke, C; Ranoto, L; Chetty, T; Ndou, R; Struthers, H; McIntyre, J A; Rees, K |
| Source: |
South African Medical Journal; Vol 111, No 12 (2021); 1181-1189 ; 2078-5135 ; 0256-9574 |
| Publisher Information: |
South African Medical Association |
| Publication Year: |
2021 |
| Collection: |
South African Medical Journal (SAMJ) |
| Subject Terms: |
COVID-19; Lockdown; Mopani district; South Africa; Interrupted time series analysis; Health utilisation |
| Description: |
Background. To prevent the spread of SARS-CoV-2, many countries instituted lockdown measures. As the virus was initially slow to spread to rural areas in South Africa, Mopani district in Limpopo Province did not experience a high incidence of COVID-19 until the second wave in December 2020. Until then, lockdown measures were more likely than SARS-CoV-2 infections to have an adverse impact on health services.Objectives. To analyse HIV, tuberculosis (TB) and prevention of mother-to-child transmission of HIV (PMTCT) indicator trends in Mopani during the COVID-19 lockdown and two COVID-19 waves.Methods. Using monthly data from the District Health Information System from February 2019 to December 2020, we conducted a retrospective review of data elements and indicators that fall into the following domains: primary healthcare head count (HC), HIV, antiretroviral treatment (ART), PMTCT and TB. Aggregated data were analysed, and an interrupted time series analysis was conducted. We assessed percentage changes between the January - March 2020 and April - June 2020 periods, and differences in means for the period April - December 2019 v. the period April - December 2020 were assessed for statistical significance.Results. At the start of the first wave in April 2020, a statistically significant decline of 10% was recorded for total HC utilisation rates (p=0.1). We also found declines of 665 HIV tests (from 1 608 to 942) and 22 positive HIV tests (from 27 to 4) for children between the ages of 18 months and 14 years (p=0.05), with no recovery. Significant declines were also recorded for children aged |
| Document Type: |
article in journal/newspaper |
| File Description: |
application/pdf |
| Language: |
English |
| Relation: |
http://samj.org.za/index.php/samj/article/view/13468/9997; http://samj.org.za/index.php/samj/article/view/13468 |
| DOI: |
10.7196/SAMJ.2021.v111i12.15822 |
| Availability: |
http://samj.org.za/index.php/samj/article/view/13468; https://doi.org/10.7196/SAMJ.2021.v111i12.15822 |
| Rights: |
Copyright of published material remains in the Authors’ name. This allows authors to use their work for their own non-commercial purposes without seeking permission from the Publisher, subject to properly acknowledging the Journal as the original place of publication. Authors are free to copy, print and distribute their articles, in full or in part, for teaching activities, and to deposit or include their work in their own personal or institutional database or on-line website. Authors are requested to inform the Journal/Publishers of their desire/intention to include their work in a thesis or dissertation or to republish their work in any derivative form (but not for commercial use).  Material submitted for publication in the SAMJ is accepted provided it has not been published or submitted for publication elsewhere. Please inform the editorial team if the main findings of your paper have been presented at a conference and published in abstract form, to avoid copyright infringement. |
| Accession Number: |
edsbas.C71D865D |
| Database: |
BASE |