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4. Impact of war on HIV-related healthcare services and health workers in eastern Ukraine: a qualitative study.

Author

Barsukova, Alla, Shvab, Maria, Puttkammer, Nancy H., Vitruk, Olga, Ihnatiuk, Alyona P., Hetman, Larisa I., McDowell, Misti R., Collins, Pamela Y., and Shapoval, Anna Y.

Subjects
HIV prevention, HEALTH services accessibility, NURSES, INTERNET access, MEDICAL personnel, QUALITATIVE research, ANTIRETROVIRAL agents, RESEARCH funding, MEDICAL care, INTERVIEWING, CONTENT analysis, WAR, CONTINUUM of care, PRE-exposure prophylaxis, SUSTAINABLE development, PHYSICIANS, WELL-being
Abstract

The 2022 Russian invasion of Ukraine has caused serious challenges for healthcare workers (HCWs) and HIV-related healthcare services. This study assessed the effects of the invasion on HCWs wellbeing and on continuity of HIV services, using in-depth interviews with HCWs from facilities offering HIV antiretroviral therapy (ART) and pre-exposure prophylaxis (PrEP) services in the Donetsk region of Eastern Ukraine. A directed content analysis, with both inductive and deductive approaches, was conducted. Ten HCWs (6 [60%] doctors, 4 [40%] nurses; 9 [90%] female) were interviewed. Six respondents were displaced from their homes and worksites, and all described stress and threats to emotional wellbeing. HCWs used online consultations, encrypted mobile communication, and multi-month dispensing to support continuity of ART and PrEP services. They noted immediate needs for psychological and financial support, and access to laptop computers and mobile communications to ensure continuity of HIV services. Priorities for restoration of services include repair of health facilities, restoration of laboratory services and supply chains, and return of personnel and patients. HCWs made innovative, rapid adaptations to HIV services to keep ART and PrEP services running, demonstrating the resolve of Ukrainian HCWs to maintain continuity of HIV services despite the disruptions of war. [ABSTRACT FROM AUTHOR]

Published
2024
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10. Meeting the Contraceptive Needs of Key Populations Affected by HIV in Asia: An Unfinished Agenda

Author

Petruney, Tricia, Minichiello, Shanthi Noriega, McDowell, Misti, and Wilcher, Rose

Subjects
Article Subject
Abstract

Like all women, women living with and at risk of acquiring HIV have the right to determine the number and timing of their pregnancies and to safely achieve their reproductive intentions. Yet, many women in Asia affected by HIV lack access to family planning services and experience disproportionately high rates of unintended pregnancy and abortion. Programs that have succeeded in promoting condom use and providing HIV prevention and treatment services in this region have largely missed the opportunity to address the contraceptive needs of the key populations they serve. The importance of better linkages between family planning and HIV policies and programs is now widely recognized by global health policymakers and donors. However, to date, most of the efforts to improve these linkages have been conducted in Africa. Greater attention is needed to the developing, implementing, and evaluating of integrated family planning/HIV approaches that are tailored to the political, cultural, and public health context in Asia. In this paper, we describe the use of and need for family planning among key populations affected by HIV in Asia, discuss the challenges to effectively addressing of these needs, and offer recommendations for strengthening the linkages between family planning and HIV policies and programs in the region.

Published
2012
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