{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T07:09:58Z","timestamp":1790838598592,"version":"4.1.0"},"reference-count":20,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,10,10]],"date-time":"2021-10-10T00:00:00Z","timestamp":1633824000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["HIV Medicine"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>The coronavirus disease (COVID\u201019) pandemic has been associated with severe disruptions in health care services, and nonpharmacological measures such as social distancing also have an impact on access to screening tests and on the long\u2010term care of patients with chronic conditions globally. We aimed to describe the impact of the COVID\u201019 pandemic on HIV testing and treatment and to describe strategies employed to mitigate the impact of COVID\u201019 on HIV care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this retrospective cohort study, we used secondary data from the AIDS Healthcare Foundation (AHF) Global Quality Program from 44 countries in four continents (Asia, Latin America and the Caribbean, Europe and Africa), and compared information on HIV testing, percentage of positive results, number of in\u2010person appointments, and number of new enrolments in HIV care from 1 January 2020 to 31 August 2020 with the equivalent period in 2019.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Despite marked inter\u2010country heterogeneities, we found that COVID\u201019 was associated with a significant reduction in HIV testing, an increase in the percentage of positive tests, a reduction in the number of in\u2010person consultations and a reduction in the number of new enrolments in care, despite the implementation of several mitigation strategies. The impact of COVID\u201019 differed across continents and key populations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our findings suggest that, in the years to come, health care services must be prepared to respond to the impact of COVID\u201019 on HIV testing and care. Providers and facilities should build on the lessons learned so far to further improve mitigation strategies and establish care priorities for both the pandemic and the post\u2010pandemic periods.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hiv.13180","type":"journal-article","created":{"date-parts":[[2021,10,13]],"date-time":"2021-10-13T00:33:58Z","timestamp":1634085238000},"page":"169-177","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":102,"title":["Impact of coronavirus disease (COVID\u201019) on HIV testing and care provision across four continents"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0817-094X","authenticated-orcid":false,"given":"Fernanda","family":"Rick","sequence":"first","affiliation":[{"name":"AIDS Healthcare Foundation Global Program  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wilfred","family":"Odoke","sequence":"additional","affiliation":[{"name":"AIDS Healthcare Foundation Global Program  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"van den Hombergh","sequence":"additional","affiliation":[{"name":"AIDS Healthcare Foundation Global Program  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adele S.","family":"Benzaken","sequence":"additional","affiliation":[{"name":"AIDS Healthcare Foundation Global Program  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6660-3088","authenticated-orcid":false,"given":"Vivian I.","family":"Avelino\u2010Silva","sequence":"additional","affiliation":[{"name":"AIDS Healthcare Foundation Global Program  S\u00e3o Paulo Brazil"},{"name":"Department of Infectious and Parasitic Diseases Faculdade de Medicina da Universidade de Sao Paulo  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,10,10]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/joim.13184"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hjdsi.2020.100461"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12981-020-00314-y"},{"key":"e_1_2_8_5_1","first-page":"9","article-title":"Innovations in HIV care delivery during the COVID\u201019 pandemic: Policies to strengthen the Ending the Epidemic Initiative \u2010 A Policy Paper of the Infectious Diseases Society of America and the HIV Medicine Association","volume":"72","author":"Armstrong WS","year":"2020","journal-title":"Clin Infect Dis"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2020.04.018"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12875-020-01278-8"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-2600(20)30234-4"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-020-02871-9"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(20)30288-6"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijid.2020.09.1425"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/jiab051"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0000000000002462"},{"key":"e_1_2_8_14_1","unstructured":"UNAIDS.Prevailing against pandemics by putting people at the centre. 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