Impact of the COVID-19 pandemic on young people living with HIV in Lesotho: a qualitative study

Introduction There is a growing body of research evidencing the detrimental impact of the COVID-19 pandemic on the mental health and well-being of young people. This impact may be worse in low-resource settings, especially those in sub-Saharan Africa, where pandemic impacts may be exacerbated by pov...

Full description

Saved in:
Bibliographic Details
Main Authors: Christian Mallen, Michelle E Robinson, Thomas Shepherd, Maema Ramaema, Moraoetsi Rakuoane, Ntoli Moletsane, Rafiloe Mpholo, Graham Leigh
Format: Article
Language:English
Published: BMJ Publishing Group 2024-07-01
Series:BMJ Public Health
Online Access:https://bmjpublichealth.bmj.com/content/2/1/e000414.full
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832583324514648064
author Christian Mallen
Michelle E Robinson
Thomas Shepherd
Maema Ramaema
Moraoetsi Rakuoane
Ntoli Moletsane
Rafiloe Mpholo
Graham Leigh
author_facet Christian Mallen
Michelle E Robinson
Thomas Shepherd
Maema Ramaema
Moraoetsi Rakuoane
Ntoli Moletsane
Rafiloe Mpholo
Graham Leigh
author_sort Christian Mallen
collection DOAJ
description Introduction There is a growing body of research evidencing the detrimental impact of the COVID-19 pandemic on the mental health and well-being of young people. This impact may be worse in low-resource settings, especially those in sub-Saharan Africa, where pandemic impacts may be exacerbated by poverty, limited healthcare access and other health epidemics including HIV. We explored the COVID-19 pandemic impacts on young people living with HIV in Lesotho to understand the experiences of HIV management, well-being, financial stability and education status.Methods Thirty-one semistructured, face-to-face interviews were conducted with young people aged 15–19 years of age living with HIV from eight districts across Lesotho. Interviews were conducted in Sesotho, audio-recorded, later transcribed and translated to English prior to analysis. Analysis consisted of a thematic analysis using principles of constant comparison to explore key and emerging themes.Results Analysis revealed five major themes: ‘financial instability and food insecurity’, ‘challenges to health and well-being’, ‘changing relationship dynamics’, ‘loss of educational opportunities’ and ‘understanding the threat of COVID-19’.Conclusions While participants discussed being able to access antiretroviral therapy, this study highlights the significant impact of the COVID-19 pandemic and associated lockdown measures on the mental health and well-being, financial stability and educational development of young people living with HIV in Lesotho.
format Article
id doaj-art-b8bfb1bc3a5d4a8e9dfaf8819cf56979
institution Kabale University
issn 2753-4294
language English
publishDate 2024-07-01
publisher BMJ Publishing Group
record_format Article
series BMJ Public Health
spelling doaj-art-b8bfb1bc3a5d4a8e9dfaf8819cf569792025-01-28T18:55:08ZengBMJ Publishing GroupBMJ Public Health2753-42942024-07-012110.1136/bmjph-2023-000414Impact of the COVID-19 pandemic on young people living with HIV in Lesotho: a qualitative studyChristian Mallen0Michelle E Robinson1Thomas Shepherd2Maema Ramaema3Moraoetsi Rakuoane4Ntoli Moletsane5Rafiloe Mpholo6Graham Leigh73 Midlands Partnership NHS Foundation Trust, Stafford, Staffordshire, UKKeele University, Keele, UKKeele University, Keele, UKMamohato Children’s Centre, Maseru, LesothoMamohato Children’s Centre, Maseru, LesothoMamohato Children’s Centre, Maseru, LesothoNational AIDS Commission, Maseru, LesothoSentebale London, London, UKIntroduction There is a growing body of research evidencing the detrimental impact of the COVID-19 pandemic on the mental health and well-being of young people. This impact may be worse in low-resource settings, especially those in sub-Saharan Africa, where pandemic impacts may be exacerbated by poverty, limited healthcare access and other health epidemics including HIV. We explored the COVID-19 pandemic impacts on young people living with HIV in Lesotho to understand the experiences of HIV management, well-being, financial stability and education status.Methods Thirty-one semistructured, face-to-face interviews were conducted with young people aged 15–19 years of age living with HIV from eight districts across Lesotho. Interviews were conducted in Sesotho, audio-recorded, later transcribed and translated to English prior to analysis. Analysis consisted of a thematic analysis using principles of constant comparison to explore key and emerging themes.Results Analysis revealed five major themes: ‘financial instability and food insecurity’, ‘challenges to health and well-being’, ‘changing relationship dynamics’, ‘loss of educational opportunities’ and ‘understanding the threat of COVID-19’.Conclusions While participants discussed being able to access antiretroviral therapy, this study highlights the significant impact of the COVID-19 pandemic and associated lockdown measures on the mental health and well-being, financial stability and educational development of young people living with HIV in Lesotho.https://bmjpublichealth.bmj.com/content/2/1/e000414.full
spellingShingle Christian Mallen
Michelle E Robinson
Thomas Shepherd
Maema Ramaema
Moraoetsi Rakuoane
Ntoli Moletsane
Rafiloe Mpholo
Graham Leigh
Impact of the COVID-19 pandemic on young people living with HIV in Lesotho: a qualitative study
BMJ Public Health
title Impact of the COVID-19 pandemic on young people living with HIV in Lesotho: a qualitative study
title_full Impact of the COVID-19 pandemic on young people living with HIV in Lesotho: a qualitative study
title_fullStr Impact of the COVID-19 pandemic on young people living with HIV in Lesotho: a qualitative study
title_full_unstemmed Impact of the COVID-19 pandemic on young people living with HIV in Lesotho: a qualitative study
title_short Impact of the COVID-19 pandemic on young people living with HIV in Lesotho: a qualitative study
title_sort impact of the covid 19 pandemic on young people living with hiv in lesotho a qualitative study
url https://bmjpublichealth.bmj.com/content/2/1/e000414.full
work_keys_str_mv AT christianmallen impactofthecovid19pandemiconyoungpeoplelivingwithhivinlesothoaqualitativestudy
AT michelleerobinson impactofthecovid19pandemiconyoungpeoplelivingwithhivinlesothoaqualitativestudy
AT thomasshepherd impactofthecovid19pandemiconyoungpeoplelivingwithhivinlesothoaqualitativestudy
AT maemaramaema impactofthecovid19pandemiconyoungpeoplelivingwithhivinlesothoaqualitativestudy
AT moraoetsirakuoane impactofthecovid19pandemiconyoungpeoplelivingwithhivinlesothoaqualitativestudy
AT ntolimoletsane impactofthecovid19pandemiconyoungpeoplelivingwithhivinlesothoaqualitativestudy
AT rafiloempholo impactofthecovid19pandemiconyoungpeoplelivingwithhivinlesothoaqualitativestudy
AT grahamleigh impactofthecovid19pandemiconyoungpeoplelivingwithhivinlesothoaqualitativestudy