Recovery of HIV service provision post-earthquake
- 17 July 2012
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in AIDS
- Vol. 26 (11), 1431-1436
- https://doi.org/10.1097/qad.0b013e328352d032
Abstract
To describe the level of functionality of President's Emergency Plan for AIDS Relief (PEPFAR)-supported HIV clinical services following the devastating earthquake that struck Haiti in January 2010. Available program-monitoring data from sites providing voluntary counseling and testing for HIV (VCT), antenatal care (ANC) and prevention of mother-to-child transmission (PMTCT) services, and antiretroviral treatment (ART) were described, comparing pre-earthquake and post-earthquake periods during October 2008 to May 2010. Pre-earthquake HIV service baselines for VCT, PMTCT, and ART enrollment were defined as monthly mean total number of patients served over 15 months pre-earthquake. ART baseline was defined as total current patients by December 2009. Sites were categorized as high-earthquake or low-earthquake intensity based on location and instrumental shake intensity data. Pre-earthquake mean monthly baselines were 41 087 (VCT), 11 909 (HIV testing at ANC sites), 648 (ART enrollment), and 296 (PMTCT enrollment); baseline total current patients on ART was 24 863. Service provision in January and May 2010, reported as percentage of baseline, was 43 and 78.7% (VCT), 50.8 and 88.7% (HIV testing at ANC), 46 and 81% (PMTCT), and 41 and 82.7% (ART enrollment), respectively. Current patients on ART decreased to 97% of baseline in April, rising to 103.9% by May; the initial decline was restricted to high-earthquake intensity areas. Following the Haiti earthquake, there was a transient, marked decline in VCT and new ART patient enrollment, whereas follow-up of established ART patients remained impressively high. HIV treatment continuity should be reinforced in disaster preparedness and response strategies in HIV epidemic settings.Keywords
This publication has 10 references indexed in Scilit:
- Improved Response to Disasters and Outbreaks by Tracking Population Movements with Mobile Phone Network Data: A Post-Earthquake Geospatial Study in HaitiPLoS Medicine, 2011
- Provision of antiretroviral treatment in conflict settings: the experience of Médecins Sans FrontièresConflict and Health, 2010
- Interruption of Medication among Outpatients with Chronic Conditions after a FloodPrehospital and Disaster Medicine, 2010
- Impact of the Kenya post-election crisis on clinic attendance and medication adherence for HIV-infected children in western KenyaConflict and Health, 2009
- Impact of the 2007 Ica Earthquake on Health Facilities and Health Service Provision in Southern PeruPrehospital and Disaster Medicine, 2009
- Chronic Disease and Related Conditions at Emergency Treatment Facilities in the New Orleans Area After Hurricane KatrinaDisaster Medicine and Public Health Preparedness, 2008
- Swept Away: Use of General Medical and Mental Health Services Among Veterans Displaced By Hurricane KatrinaAmerican Journal of Psychiatry, 2007
- Predictors of HIV Drug‐Resistance Mutations in a Large Antiretroviral‐Naive Cohort Initiating Triple Antiretroviral TherapyThe Journal of Infectious Diseases, 2005
- Intermittent use of triple-combination therapy is predictive of mortality at baseline and after 1 year of follow-upAIDS, 2002
- Non-adherence to highly active antiretroviral therapy predicts progression to AIDSAIDS, 2001