Impact of COVID-19 on Utilization of Healthcare Services Among People Living with HIV (PLHIV): A Systematic Review

<i>Background and Objectives:</i> People living with HIV/AIDS have been impacted notably by the COVID-19 pandemic in diverse dimensions. Although some impacts of COVID-19 on PLHIV have been well documented, there is still insufficient research that captures the overall understanding of t...

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Main Authors: Enyinnaya Ukaegbu, Maulenkul Tilektes, Antonio Sarria-Santamera
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Medicina
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Online Access:https://www.mdpi.com/1648-9144/61/1/111
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author Enyinnaya Ukaegbu
Maulenkul Tilektes
Antonio Sarria-Santamera
author_facet Enyinnaya Ukaegbu
Maulenkul Tilektes
Antonio Sarria-Santamera
author_sort Enyinnaya Ukaegbu
collection DOAJ
description <i>Background and Objectives:</i> People living with HIV/AIDS have been impacted notably by the COVID-19 pandemic in diverse dimensions. Although some impacts of COVID-19 on PLHIV have been well documented, there is still insufficient research that captures the overall understanding of the implications of COVID-19 for the healthcare utilization among PLHIV. This review aims to evaluate the impact of COVID-19 on PLHIV, narrowing it down to women living with HIV/AIDS. <i>Materials and Methods:</i> An electronic database search of primary studies that obtained information from health facility data regarding PLHIV since 2020 was carried out according to the PRISMA statement. A combination of search terms, e.g., “COVID-19 pandemic”, “SARS-CoV-2”, “Health services utilization”, “People living with Human immunodeficiency virus”, was included. <i>Results:</i> There was an overall decline in the utilization of health services such as medical consultations, ART uptake, and viral load monitoring by PLHIV at primary health centers at the forefront of care delivery. However, the countries in the sub-Saharan African region showed a progressive service increase over the pandemic. There was a scarcity of research on the impact of COVID-19 on women populations living with HIV/AIDS. Other methods of healthcare delivery such as telemedicine and postage services were instrumental to the delivery of HIV care services. <i>Conclusions:</i> The COVID-19 pandemic reduced the overall uptake of healthcare services among PLHIV and women living with HIV/AIDS. There is a need to boost research and strengthen health emergency preparedness for PLHIV, particularly women living with HIV/AIDS, during pandemics and further harness and maximize the use of contemporary healthcare delivery methods other than the traditional ones.
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spelling doaj-art-3a2f8691905c41fba7a9575ce4c8d4cb2025-01-24T13:40:39ZengMDPI AGMedicina1010-660X1648-91442025-01-0161111110.3390/medicina61010111Impact of COVID-19 on Utilization of Healthcare Services Among People Living with HIV (PLHIV): A Systematic ReviewEnyinnaya Ukaegbu0Maulenkul Tilektes1Antonio Sarria-Santamera2Department of Biomedical Sciences, School of Medicine, Nazarbayev University, Kerey and Zhanibek Khans St. 5/1, Astana 010000, KazakhstanFortitude Valley Campus, Torrens University, 90 Bowen Tce, Brisbane, QLD 4006, AustraliaDepartment of Biomedical Sciences, School of Medicine, Nazarbayev University, Kerey and Zhanibek Khans St. 5/1, Astana 010000, Kazakhstan<i>Background and Objectives:</i> People living with HIV/AIDS have been impacted notably by the COVID-19 pandemic in diverse dimensions. Although some impacts of COVID-19 on PLHIV have been well documented, there is still insufficient research that captures the overall understanding of the implications of COVID-19 for the healthcare utilization among PLHIV. This review aims to evaluate the impact of COVID-19 on PLHIV, narrowing it down to women living with HIV/AIDS. <i>Materials and Methods:</i> An electronic database search of primary studies that obtained information from health facility data regarding PLHIV since 2020 was carried out according to the PRISMA statement. A combination of search terms, e.g., “COVID-19 pandemic”, “SARS-CoV-2”, “Health services utilization”, “People living with Human immunodeficiency virus”, was included. <i>Results:</i> There was an overall decline in the utilization of health services such as medical consultations, ART uptake, and viral load monitoring by PLHIV at primary health centers at the forefront of care delivery. However, the countries in the sub-Saharan African region showed a progressive service increase over the pandemic. There was a scarcity of research on the impact of COVID-19 on women populations living with HIV/AIDS. Other methods of healthcare delivery such as telemedicine and postage services were instrumental to the delivery of HIV care services. <i>Conclusions:</i> The COVID-19 pandemic reduced the overall uptake of healthcare services among PLHIV and women living with HIV/AIDS. There is a need to boost research and strengthen health emergency preparedness for PLHIV, particularly women living with HIV/AIDS, during pandemics and further harness and maximize the use of contemporary healthcare delivery methods other than the traditional ones.https://www.mdpi.com/1648-9144/61/1/111COVID-19 impactsSARS-CoV-2HIV/AIDShealth service utilizationwomen’s health
spellingShingle Enyinnaya Ukaegbu
Maulenkul Tilektes
Antonio Sarria-Santamera
Impact of COVID-19 on Utilization of Healthcare Services Among People Living with HIV (PLHIV): A Systematic Review
Medicina
COVID-19 impacts
SARS-CoV-2
HIV/AIDS
health service utilization
women’s health
title Impact of COVID-19 on Utilization of Healthcare Services Among People Living with HIV (PLHIV): A Systematic Review
title_full Impact of COVID-19 on Utilization of Healthcare Services Among People Living with HIV (PLHIV): A Systematic Review
title_fullStr Impact of COVID-19 on Utilization of Healthcare Services Among People Living with HIV (PLHIV): A Systematic Review
title_full_unstemmed Impact of COVID-19 on Utilization of Healthcare Services Among People Living with HIV (PLHIV): A Systematic Review
title_short Impact of COVID-19 on Utilization of Healthcare Services Among People Living with HIV (PLHIV): A Systematic Review
title_sort impact of covid 19 on utilization of healthcare services among people living with hiv plhiv a systematic review
topic COVID-19 impacts
SARS-CoV-2
HIV/AIDS
health service utilization
women’s health
url https://www.mdpi.com/1648-9144/61/1/111
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