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Home >> Publications >> Impact of the Ebola epidemic on general and HIV care in Macenta, Forest Guinea, 2014

Publication

Author(s):

Leuenberger D, Hebelamou J, Strahm S, De Rekeneire N, Balestre E, Wandeler G, Dabis F; IeDEA West Africa study group.

Pub Title:

Impact of the Ebola epidemic on general and HIV care in Macenta, Forest Guinea, 2014

Pub Date:

Sep 10 2015

Pub Region(s):

West Africa

Page Number:
1883-1887

Journal:

Title: 
AIDS
Link: 
http://ovidsp.tx.ovid.com/sp-3.16.0b/ovidweb.cgi?QS2=434f4e1a73d37e8c8b3eab7e2fc8fd7ca9d34fac762c6f2db6ad3dbdd5314fb385b2637e962d9531fab20ff8bc6050515cb7de8eabdeae29f5d901e3a6fe3ad1bd0985e250872d8f3dec86ba10a35062007e68ed7f600ec41b34e5b8c221697a8ad0ccdda0

PubMed: 26372393
OBJECTIVE:
The current Ebola epidemic massively affected the Macenta district in Forest Guinea. We aimed at investigating its impact on general and HIV care at the only HIV care facility in the district.
DESIGN:
Prospective observational single-facility study.
METHODS:
Routinely collected data on use of general hospital services and HIV care were linked to Ebola surveillance data published by the Guinea Ministry of Health. In addition, we compared retention among HIV-infected patients enrolled into care in the first semesters of 2013 and 2014.
RESULTS:
Throughout 2014, service offer was continuous and unaltered at the facility. During the main epidemic period (August-December 2014), compared with the same period of 2013, there were important reductions in attendance at the primary care outpatient clinic (-40%), in HIV tests done (-46%), in new diagnoses of tuberculosis (-53%) and in patients enrolled into HIV care (-47%). There was a smaller reduction in attendance at the HIV follow-up clinic (-11%). Kaplan-Meier estimates of retention were similar among the patients enrolled into care in 2014 and 2013. In a multivariable Cox regression analysis, the year of enrolment was not associated with attrition (hazard ratio 1.02; 95% confidence interval: 0.72-1.43).
CONCLUSION:
The Ebola epidemic resulted in an important decrease in utilization of the facility despite unaltered service offer. Effects on care of HIV-positive patients enrolled prior to the epidemic were limited. HIV care in such circumstances is challenging, but not impossible.
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Citation:

Leuenberger D, Hebelamou J, Strahm S, De Rekeneire N, Balestre E, Wandeler G, Dabis F; IeDEA West Africa study group. Impact of the Ebola epidemic on general and HIV care in Macenta, Forest Guinea, 2014. AIDS. 2015 Sep 10;29(14):1883-7. doi: 10.1097/QAD.0000000000000784. PubMed PMID: 26372393; PubMed Central PMCID: PMC4571280.