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Abstracts
Résumé
Introduction : Depuis son apparition fin 2019 en Chine, les mesures de riposte contre l’infection à COVID-19 ont perturbé la prestation des services de santé primaires dont ceux liés au virus de l’immunodéficience humaine (VIH). En République démocratique du Congo, l’effet des mesures anti-COVID-19 (confinement) sur l’utilisation des services de prévention du VIH et de prise en charge des personnes vivant avec le VIH (PVVIH) reste peu décrit à ce jour.
Objectif : Comparer et comprendre l’effet des mesures anti-COVID-19 sur l’utilisation des services préventifs du VIH et de prise en charge des PVVIH dans les Centres de traitement ambulatoire (CTA) de Bukavu avant (octobre 2019 à février 2020) et pendant (mars à juillet 2020) la période des mesures anti-COVID-19.
Méthodes : Étude mixte multisite avec un devis séquentiel explicatif réalisée à Bukavu entre juillet et septembre 2021. La phase quantitative est observationnelle, descriptive, rétrospective et basée sur des données programmatiques issues des CTA. La phase qualitative, guidée par les résultats quantitatifs, est basée sur 31 entretiens semi-structurés avec les soignants et les PVVIH.
Résultats : Par comparaison avec la période pré-COVID-19, les mesures anti-COVID-19 ont entrainé une baisse de 11 à 20% des services de prévention du VIH et de prise en charge des PVVIH. Elles ont également induit les ruptures de stock d’antirétroviraux et de tests VIH, la réorganisation des services VIH, la contamination de certains soignants à la COVID-19 et le décès d’autres, ainsi qu’une baisse de l’utilisation des services VIH.
Discussion et conclusion : À Bukavu, les mesures anti-COVID-19 ont eu un impact négatif sur le parcours de soins des personnes à risque et infectées par le VIH. Elles ont entravé les progrès vers les objectifs : 95% des personnes dépistées au VIH, 95% des PVVIH sous traitement et 95% des PVVIH avec une charge virale supprimée.
Mots-clés :
- COVID-19,
- impact,
- services VIH,
- centres de traitement ambulatoire,
- Bukavu
Abstract
Introduction: Since its appearance in China at the end of 2019, the sanitary response to COVID-19 infection has disrupted the delivery of primary healthcare services, including those related to the human immunodeficiency virus (HIV). In the Democratic Republic of Congo, anti-COVID-19 measures (containment) effect on the use of HIV preventive and care services for people living with HIV (PLHIV) remains poorly described to date.
Objective: Compare and understand the effect of anti-COVID measures on the use of HIV prevention and care services for PLHIV in Outpatient treatment centers from Bukavu before (October 2019 to February 2020) and during (March to July 2020) anti-COVID measures.
Methods: Multisite mixed study with an explanatory sequential design carried out in Bukavu between July and September 2021. Quantitative phase is observational, descriptive, retrospective and based on programmatic data from Outpatient treatment centers (OTC). Qualitative phase, guided by quantitative results, is based on 31 semi-structured interviews with caregivers and PLHIV.
Results: Compared to the pre-COVID-19 period, anti-COVID-19 measures resulted in an 11-20% decrease in HIV preventive and PLHIV’s care services. They also led to stock outs of antiretrovirals and HIV tests, HIV services reorganization, some caregiver’s contamination with COVID-19 and death of others, and a drop in HIV services use.
Discussion and conclusion: In Bukavu, anti-COVID-19 measures have had a negative impact on the care of at-risk, HIV-infected people. They have hampered progress towards the objectives of 95% of people tested for HIV, 95% of PLHIV on treatment and 95% of PLHIV with a suppressed viral load.
Keywords:
- COVID-19,
- impact,
- HIV services,
- outpatient treatment centers,
- Bukavu
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Appendices
Bibliographie
- Akilimali, P. Z., Mashinda, D. K., Lulebo, A. M., Mafuta, E. M., Onyamboko, M. A., et Tran, N. T. (2022). The emergence of COVID-19 in the Democratic Republic of Congo: Community knowledge, attitudes, and practices in Kinshasa. PLoS ONE, 17(6), e0265538. https://doi.org/10.1371/journal.pone.026553810.1371/journal.pone.0265538 Google Scholar Search this bibliographic reference on Google Scholar
- Akonkwa, B., Jean, A., Katumbi, F., Kulondwa, M., Mahano, A. O., Mulashe, B., Sabuni, P., Alu, K., et Mangambu Mokoso, J. D. D. (2018). Adhérence des personnes vivant avec le VIH/SIDA aux antirétroviraux dans le district sanitaire de Bukavu (Sud-Kivu, République Démocratique du Congo). Annals of Laboratory Medicine, 4, 256‑269.Google Scholar Search this bibliographic reference on Google Scholar
- Amimo, F., Lambert, B., et Magit, A. (2020). What does the COVID-19 pandemic mean for HIV, tuberculosis, and malaria control? Tropical Medicine and Health, 48(1), 32. https://doi.org/10.1186/s41182-020-00219-610.1186/s41182-020-00219-6 Google Scholar Search this bibliographic reference on Google Scholar
- Ayagirwe, R., Birindwa, B., Tchass, C., Baenyi Simon, P., Kashosi, T., Bisimwa, P., Ronald, T., Mugumaarhahama, Y., Valence, M., Bwami, M., Shukuru, W., Bisimwa, P., et Mukwege, D. (2022). Population Behavior and Practices during the First Wave of COVID-19 Pandemic in Low Resource-Conditions of South Kivu, East of Democratic Republic of Congo. Journal of Epidemiology and Public Health, 7, 17‑33. https://doi.org/10.26911/jepublichealth.2022.07.01.0210.26911/jepublichealth.2022.07.01.02 Google Scholar Search this bibliographic reference on Google Scholar
- Baribeau, C. (2005). L’instrumentation dans la collecte de données. Le journal de bord du chercheur. Recherches Qualitatives Hors Série(2), 98 114. http://www.recherche-qualitative.qc.ca/documents/files/revue/hors_serie/hors_serie_v2/CBaribeau%20HS2-issn.pdfGoogle Scholar Search this bibliographic reference on Google Scholar
- Bourgault, P., Gallagher, F., Michaud, C., et St-Cyr Tribble, D. (2010). Le devis mixte en sciences infirmières ou quand une question de recherche appelle des stratégies qualitatives et quantitatives. Recherche en soins infirmiers, 103(4), 20‑28. https://doi.org/10.3917/rsi.103.002010.3917/rsi.103.0020 Google Scholar Search this bibliographic reference on Google Scholar
- Brown, L. B., Spinelli, M. A., et Gandhi, M. (2021). The interplay between HIV and COVID-19 : Summary of the data and responses to date. Current Opinion in HIV and AIDS, 16(1), 63. https://doi.org/10.1097/COH.000000000000065910.1097/COH.0000000000000659 Google Scholar Search this bibliographic reference on Google Scholar
- Chersich, M. F., Gray, G., Fairlie, L., Eichbaum, Q., Mayhew, S., Allwood, B., English, R., Scorgie, F., Luchters, S., Simpson, G., Haghighi, M. M., Pham, M. D., et Rees, H. (2020). COVID-19 in Africa: Care and protection for frontline healthcare workers. Globalization and Health, 16, 46. https://doi.org/10.1186/s12992-020-00574-310.1186/s12992-020-00574-3 Google Scholar Search this bibliographic reference on Google Scholar
- Creswell, J. W., et Plano Clark, V. L. (2018). Designing and Conducting Mixed Methods Research (3e éd.). Sage Publications.Google Scholar Search this bibliographic reference on Google Scholar
- Data for Impact-USAID. (2021). Estimating National and Area-Specific COVID-19 Effects on Health Service Use in the Democratic Republic of the Congo. https://pdf.usaid.gov/pdf_docs/PA02111N.pdfGoogle Scholar Search this bibliographic reference on Google Scholar
- Ditekemena, J. D., Nkamba, D. M., Muhindo, H. M., Siewe, J. N. F., Luhata, C., Bergh, R. V. den, Kitoto, A. T., Damme, W. V., Muyembe, J. J., et Colebunders, R. (2021). Factors associated with adherence to COVID-19 prevention measures in the Democratic Republic of the Congo (DRC): Results of an online survey. BMJ Open, 11(1), e043356. https://doi.org/10.1136/bmjopen-2020-04335610.1136/bmjopen-2020-043356 Google Scholar Search this bibliographic reference on Google Scholar
- Dorward, J., Khubone, T., Gate, K., Ngobese, H., Sookrajh, Y., Mkhize, S., Jeewa, A., Bottomley, C., Lewis, L., Baisley, K., Butler, C. C., Gxagxisa, N., et Garrett, N. (2021). The impact of the COVID-19 lockdown on HIV care in 65 South African primary care clinics : An interrupted time series analysis. The Lancet. HIV, 8(3), e158‑e165. https://doi.org/10.1016/S2352-3018(20)30359-310.1016/S2352-3018(20)30359-3 Google Scholar Search this bibliographic reference on Google Scholar
- Duhant, A., Kusinza, B., Tantet, C., Bisimwa, B., Gare, M., Masemo, B., Alloui, C., Ntakwinjan, M., Mechai, F., Le, M. P., Gerber, A., Muhigirwa, B., Peytavin, G., Gordien, E., Brichler, S., Mukwege, M., et Le Gal, F. (2023). HIV-1 infection in South Kivu (Democratic Republic of Congo): High genotypic resistance to antiretrovirals. Journal of Antimicrobial Chemotherapy, 78(7), 1732‑1739. https://doi.org/10.1093/jac/dkad16310.1093/jac/dkad163 Google Scholar Search this bibliographic reference on Google Scholar
- Écochard, R., Wimba, P., Bengehya, J., Katchunga, P. B., Lugwarha, S., Oyimangirwe, M., Bazeboso, J.-A., Tshilolo, L., Longo-Mbenza, B., Rabilloud, M., Iwaz, J., Étard, J.-F., et Vanhems, P. (2021). The COVID-19 pandemic is deepening the health crisis in South Kivu, Democratic Republic of Congo. International Journal of Infectious Diseases, 105, 716‑720. https://doi.org/10.1016/j.ijid.2021.03.04310.1016/j.ijid.2021.03.043 Google Scholar Search this bibliographic reference on Google Scholar
- Fortin, M.-F., et Gagnon, J. (2022). Fondements et étapes du processus de recherche : Méthodes quantitatives et qualitatives (4e éd.). Chenelière Éducation.Google Scholar Search this bibliographic reference on Google Scholar
- Golin, R., Godfrey, C., Firth, J., Lee, L., Minior, T., Phelps, B. R., Raizes, E. G., Ake, J. A., et Siberry, G. K. (2020). PEPFAR’s response to the convergence of the HIV and COVID-19 pandemics in Sub-Saharan Africa. Journal of the International AIDS Society, 23(8), e25587. https://doi.org/10.1002/jia2.2558710.1002/jia2.25587 Google Scholar Search this bibliographic reference on Google Scholar
- Groupe d’étude sur le Congo. (2021). Covid business en RDC. Repenser la riposte aux épidémies. https://cic.nyu.edu/wp-content/uploads/2023/02/crg-covid-business-_en-rdc-repenser-la-_riposte-aux-_epidemies.pdfGoogle Scholar Search this bibliographic reference on Google Scholar
- Hogan, A. B., Jewell, B. L., Sherrard-Smith, E., Vesga, J. F., Watson, O. J., Whittaker, C., Hamlet, A., Smith, J. A., Winskill, P., Verity, R., Baguelin, M., Lees, J. A., Whittles, L. K., Ainslie, K. E. C., Bhatt, S., Boonyasiri, A., Brazeau, N. F., Cattarino, L., Cooper, L. V., … Hallett, T. B. (2020). Potential impact of the COVID-19 pandemic on HIV, tuberculosis, and malaria in low-income and middle-income countries: A modelling study. The Lancet. Global Health, 8(9), e1132‑e1141. https://doi.org/10.1016/S2214-109X(20)30288-610.1016/S2214-109X(20)30288-6 Google Scholar Search this bibliographic reference on Google Scholar
- International Center for AIDS Care and Treatment Programs. (2020). Perspectives from Recipients of Care during the COVID-19 Pandemic. https://cquin.icap.columbia.edu/wp-content/uploads/2020/04/CQUIN-ITPC-RoC-Perspectives_MASTER-FINAL21April.pdfGoogle Scholar Search this bibliographic reference on Google Scholar
- Intissar, S., et Rabeb, C. (2015). Étapes à suivre dans une analyse qualitative de données selon trois méthodes d’analyse : la théorisation ancrée de Strauss et Corbin, la méthode d’analyse qualitative de Miles et Huberman et l’analyse thématique de Paillé et Mucchielli, une revue de la littérature. Revue Francophone Internationale de Recherche Infirmière, 1(3), 161‑168. https://doi.org/10.1016/j.refiri.2015.07.00210.1016/j.refiri.2015.07.002 Google Scholar Search this bibliographic reference on Google Scholar
- Jiang, H., Zhou, Y., et Tang, W. (2020). Maintaining HIV care during the COVID-19 pandemic. The Lancet. HIV, 7(5), e308‑e309. https://doi.org/10.1016/S2352-3018(20)30105-10.1016/S2352-3018(20)30105-3 Google Scholar Search this bibliographic reference on Google Scholar
- Bonhomme Kalimira Kachelewa, P.P. Lunjwire Mulemangabo, et C. Kyambikwa Bisangamo. (2016) Elevation of the transaminases and factors associated at people living with the HIV - AIDS (PVVIH) in the center of Ambulatory Treatment of the PHARMAKINA - BUKAVU (CTA). International Journal of Innovation and Scientific Research, 26, (1), 341–346. http://www.ijisr.issr-journals.org/abstract.php?article=IJISR-16-190-01Google Scholar Search this bibliographic reference on Google Scholar
- Kaur, N., Vedel, I., El Sherif, R., et Pluye, P. (2019). Practical mixed methods strategies used to integrate qualitative and quantitative methods in community-based primary health care research. Family Practice, 36(5), 666‑671. https://doi.org/10.1093/fampra/cmz01010.1093/fampra/cmz010 Google Scholar Search this bibliographic reference on Google Scholar
- Kickbusch, I. (2018, novembre 23). Nurses will help turn the promise of universal health care into a reality. STAT. https://www.statnews.com/2018/11/23/nurses-deliver-promise-universal-health-care/Google Scholar Search this bibliographic reference on Google Scholar
- Kowalska, J. D., Skrzat-Klapaczyńska, A., Bursa, D., Balayan, T., Begovac, J., Chkhartishvili, N., Gokengin, D., Harxhi, A., Jilich, D., Jevtovic, D., Kase, K., Lakatos, B., Matulionyte, R., Mulabdic, V., Nagit, A., Papadopoulos, A., Stefanovic, M., Vassilenko, A., Vasylyev, M., … ECEE Network Group. (2020). HIV care in times of the COVID-19 crisis — Where are we now in Central and Eastern Europe? International Journal of Infectious Diseases: IJID: Official Publication of the International Society for Infectious Diseases, 96, 311‑314. https://doi.org/10.1016/j.ijid.2020.05.01310.1016/j.ijid.2020.05.013 Google Scholar Search this bibliographic reference on Google Scholar
- Le Fonds Mondial. (2021). Rapport 2021 sur les résultats. https://www.theglobalfund.org/media/11305/corporate_2021resultsreport_report_fr.pdfGoogle Scholar Search this bibliographic reference on Google Scholar
- Li, Q., Guan, X., Wu, P., Wang, X., Zhou, L., Tong, Y., Ren, R., Leung, K. S. M., Lau, E. H. Y., Wong, J. Y., Xing, X., Xiang, N., Wu, Y., Li, C., Chen, Q., Li, D., Liu, T., Zhao, J., Liu, M., … Feng, Z. (2020). Early Transmission Dynamics in Wuhan, China, of Novel Coronavirus-Infected Pneumonia. The New England Journal of Medicine, 382(13), 1199‑1207. https://doi.org/10.1056/NEJMoa200131610.1056/NEJMoa2001316 Google Scholar Search this bibliographic reference on Google Scholar
- Linnemayr, S., Jennings Mayo-Wilson, L., Saya, U., Wagner, Z., MacCarthy, S., Walukaga, S., Nakubulwa, S., et Karamagi, Y. (2021). HIV Care Experiences During the COVID-19 Pandemic: Mixed-Methods Telephone Interviews with Clinic-Enrolled HIV-Infected Adults in Uganda. AIDS and Behavior, 25(1), 28‑39. https://doi.org/10.1007/s10461-020-03032-810.1007/s10461-020-03032-8 Google Scholar Search this bibliographic reference on Google Scholar
- Masimango, M. I., Sumaili, E. K., Wallemacq, P., Malembaka, E. B., Hermans, M. P., Fillée, C., D’Hoore, W., Winkler, C. A., Limou, S., et Jadoul, M. (2020). Prevalence and Risk Factors of CKD in South Kivu, Democratic Republic of Congo: A Large-Scale Population Study. Kidney International Reports, 5(8), 1251‑1260. https://doi.org/10.1016/j.ekir.2020.05.02810.1016/j.ekir.2020.05.028 Google Scholar Search this bibliographic reference on Google Scholar
- Mayala, G. M., Niangi, L. M., Wembo, G. L., et Ntumba, J.-M. K. (2022). Première année de la pandémie à COVID-19 en République Démocratique du Congo : revue de la gestion d’une crise dans un système de santé décentralisé. Annals of African Medicine, 15(2), e4561-e4576. https://dx.doi.org/10.4314/aam.v15i2.510.4314/aamed.v15i2.5 Google Scholar Search this bibliographic reference on Google Scholar
- Mbithi, I., Thekkur, P., Chakaya, J. M., Onyango, E., Owiti, P., Njeri, N. C., Kumar, A. M. V., Satyanarayana, S., Shewade, H. D., Khogali, M., Zachariah, R., Rusen, I. D., Berger, S. D., et Harries, A. D. (2021). Assessing the Real-Time Impact of COVID-19 on TB and HIV Services: The Experience and Response from Selected Health Facilities in Nairobi, Kenya. Tropical Medicine and Infectious Disease, 6(2), 74. https://doi.org/10.3390/tropicalmed602007410.3390/tropicalmed6020074 Google Scholar Search this bibliographic reference on Google Scholar
- Médecins Sans Frontières. (2017). État des lieux sur la disponibilité des intrants essentiels pour la lutte contre le SIDA à Kinshasa. https://msfaccess.org/sites/default/files/MSF_assets/HIV_AIDS/Docs/MSF%20Stockout_Web%20%282%29.pdfGoogle Scholar Search this bibliographic reference on Google Scholar
- Medina, N., Alastruey-Izquierdo, A., Bonilla, O., Ortíz, B., Gamboa, O., Salazar, L. R., Mercado, D., Pérez, J. C., Denning, D. W., Arathoon, E., et Rodriguez-Tudela, J. L. (2021). Impact of the COVID-19 pandemic on HIV care in Guatemala. International Journal of Infectious Diseases, 108, 422‑427. https://doi.org/10.1016/j.ijid.2021.06.01110.1016/j.ijid.2021.06.011 Google Scholar Search this bibliographic reference on Google Scholar
- Mrazguia, C., Aloui, H., Fenina, E., Boujnah, A., Azzez, S., et Hammami, A. (2021). L´infection par le COVID-19 chez le personnel de santé à l´Hôpital Régional de Nabeul : épidémiologie et circonstances de transmission. PAMJ - One Health, 4(11). https://doi.org/10.11604/pamj-oh.2021.4.11.2789110.11604/pamj-oh.2021.4.11.27891 Google Scholar Search this bibliographic reference on Google Scholar
- Mutyambizi, C., Dunlop, J., Maluleke, C., Ranoto, L., Chetty, T., Ndou, R., Struthers, H., McIntyre, J. A., et Rees, K. (2021). Effect of COVID-19 on HIV, tuberculosis, and prevention of mother-to-child transmission of HIV indicators in Mopani district, South Africa. The South African Medical Journal, 111(12), 1181-1189. https://doi.org/10.7196/SAMJ.2021.v111i12.1582210.7196/SAMJ.2021.v111i12.15822 Google Scholar Search this bibliographic reference on Google Scholar
- Muzaliwa, I., Isia, N. F., Yenga, D., Kikobya, D., Lunjwire, P., et Katchunga, P. B. (2016). The validity of the biological eligibility criteria to antiretroviral treatment in comparison to the systematic antiretroviral treatment in a cohort of people living with the HIV in the Southern Kivu Province, Democratic Republic of the Congo. The Pan African Medical Journal, 25(210). https://doi.org/10.11604/pamj.2016.25.210.979910.11604/pamj.2016.25.210.9799 Google Scholar Search this bibliographic reference on Google Scholar
- Ndubuka, N. O., Lim, H. J., van der Wal, D. M., et Ehlers, V. J. (2016). Health-related quality of life of antiretroviral treatment defaulters in Botswana. Southern African Journal of HIV Medicine, 17(1), a475. https://doi.org/10.4102/sajhivmed.v17i1.47510.4102/sajhivmed.v17i1.475 Google Scholar Search this bibliographic reference on Google Scholar
- Ngongo, N. M., Nani-Tuma, H. S., Mambimbi, M. M., Mashi, M. L., Izizag, B. B., Ndolumingu, F. K., Maes, N., Moutschen, M., et Darcis, G. (2021). Decrease in late presentation for HIV care in Kinshasa, DRC, 2006–2020. AIDS Research and Therapy, 18(1), 41. https://doi.org/10.1186/s12981-021-00366-810.1186/s12981-021-00366-8 Google Scholar Search this bibliographic reference on Google Scholar
- Ntagereka, P. B., Oyola, S. O., Baenyi, S. P., Rono, G. K., Birindwa, A. B., Shukuru, D. W., Baharanyi, T. C., Kashosi, T. M., Buhendwa, J.-P. C., Bisimwa, P. B., Kusinza, A. B., Basengere, R. A., et Mukwege, D. (2022). Whole-genome sequencing of SARS-CoV-2 reveals diverse mutations in circulating Alpha and Delta variants during the first, second, and third waves of COVID-19 in South Kivu, east of the Democratic Republic of the Congo. International Journal of Infectious Diseases, 122, 136‑143. https://doi.org/10.1016/j.ijid.2022.05.04110.1016/j.ijid.2022.05.041 Google Scholar Search this bibliographic reference on Google Scholar
- Programme commun des Nations unies sur le VIH/Sida. (2022). Fiches d’informations sur la République démocratique du Congo. https://www.unaids.org/fr/regionscountries/countries/democraticrepublicofthecongoGoogle Scholar Search this bibliographic reference on Google Scholar
- Ordre national des infirmiers de la RDC. (2018). Plan stratégique 2019-2023. https://pdf.usaid.gov/pdf_docs/PA00TWGD.pdfGoogle Scholar Search this bibliographic reference on Google Scholar
- Otshudiema, J. O., Folefack, G. L. T., Nsio, J. M., Mbala-Kingebeni, P., Kakema, C. H., Kosianza, J. B., Mfumu, A. K., Saidi, G. N., Kabongo, P. M., Okum, R., Tshimbombu, T. N., Ahuka-Mundeke, S., Karamagi, H. C., Muyembe, J.-J. T., et Djiguimde, A. P. (2022). Epidemiological Comparison of Four COVID-19 Waves in the Democratic Republic of the Congo, March 2020–January 2022. Journal of Epidemiology and Global Health, 12(3), 316‑327. https://doi.org/10.1007/s44197-022-00052-610.1007/s44197-022-00052-6 Google Scholar Search this bibliographic reference on Google Scholar
- Programme National Multisectoriel de Lutte contre le Sida. (2022). Rapport synthèse de l’état de la réponse de l’épidémie du VIH en RDC 2021. https://pnmls.cd/documentation/uploads/RAPPORT_SYNTHESE_2021_PNMLS.pdfGoogle Scholar Search this bibliographic reference on Google Scholar
- Radio Okapi. (2022, décembre 2). Sud-Kivu : plus de 11 000 nouveaux cas de contamination au VIH/Sida en trois mois. https://www.radiookapi.net/2022/12/02/actualite/sante/sud-kivu-plus-de-11-000-nouveaux-cas-de-contamination-au-vihsida-en-troisGoogle Scholar Search this bibliographic reference on Google Scholar
- Le Président de la République. (2020). Ordonnance n° 20/014 du 24 mars 2020 portant proclamation de l’état d’urgence sanitaire pour faire face à l’épidémie de COVID-19. Partenariat pour le développement social. https://www.leganet.cd/Legislation/JO/2020/Ordonnance%2024.03.2020.htmlGoogle Scholar Search this bibliographic reference on Google Scholar
- Riziki, R., Freud, M., J-Lambert, M., Synthia, A., Fefe, M., David, K., Espoir, A., et Binvenue, R. (2021). Prevention of HIV infection among adolescents and young people in South Kivu: Challenges and prospectives. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 10, 2169. https://doi.org/10.18203/2320-1770.ijrcog2021214310.18203/2320-1770.ijrcog20212143 Google Scholar Search this bibliographic reference on Google Scholar
- Rosa, W. E., Dossey, B. M., Koithan, M., Kreitzer, M. J., Manjrekar, P., Meleis, A. I., Mukamana, D., Ray, M. A., et Watson, J. (2020). Nursing Theory in the Quest for the Sustainable Development Goals. Nursing Science Quarterly, 33(2), 178‑182. https://doi.org/10.1177/089431842090349510.1177/0894318420903495 Google Scholar Search this bibliographic reference on Google Scholar
- Sabetian, G., Moghadami, M., Hashemizadeh Fard Haghighi, L., Shahriarirad, R., Fallahi, M. J., Asmarian, N., et Moeini, Y. S. (2021). COVID-19 infection among healthcare workers: A cross-sectional study in southwest Iran. Virology Journal, 18(1), 58. https://doi.org/10.1186/s12985-021-01532-010.1186/s12985-021-01532-0 Google Scholar Search this bibliographic reference on Google Scholar
- Samudyatha, U. C., Kosambiya, J. K., et Rathore, M. S. (2022). HIV Care in the Times of COVID-19 Pandemic in Urban South Gujarat: An Operational Overview. Journal of the International Association of Providers of AIDS Care, 21. https://doi.org/10.1177/2325958222108488510.1177/23259582221084885 Google Scholar Search this bibliographic reference on Google Scholar
- Saunders, B., Sim, J., Kingstone, T., Baker, S., Waterfield, J., Bartlam, B., Burroughs, H., et Jinks, C. (2018). Saturation in qualitative research: Exploring its conceptualization and operationalization. Quality et Quantity, 52(4), 1893‑1907. https://doi.org/10.1007/s11135-017-0574-810.1007/s11135-017-0574-8 Google Scholar Search this bibliographic reference on Google Scholar
- Thekkur, P., Takarinda, K. C., Timire, C., Sandy, C., Apollo, T., Kumar, A. M. V., Satyanarayana, S., Shewade, H. D., Khogali, M., Zachariah, R., Rusen, I. D., Berger, S. D., et Harries, A. D. (2021). Operational Research to Assess the Real-Time Impact of COVID-19 on TB and HIV Services: The Experience and Response from Health Facilities in Harare, Zimbabwe. Tropical Medicine and Infectious Disease, 6(2), 94. https://doi.org/10.3390/tropicalmed602009410.3390/tropicalmed6020094 Google Scholar Search this bibliographic reference on Google Scholar
- Thekkur, P., Tweya, H., Phiri, S., Mpunga, J., Kalua, T., Kumar, A. M. V., Satyanarayana, S., Shewade, H. D., Khogali, M., Zachariah, R., Rusen, I. D., Berger, S. D., et Harries, A. D. (2021). Assessing the Impact of COVID-19 on TB and HIV Programme Services in Selected Health Facilities in Lilongwe, Malawi: Operational Research in Real Time. Tropical Medicine and Infectious Disease, 6(2), 81. https://doi.org/10.3390/tropicalmed602008110.3390/tropicalmed6020081 Google Scholar Search this bibliographic reference on Google Scholar
- Torres, T. S., Hoagland, B., Bezerra, D. R. B., Garner, A., Jalil, E. M., Coelho, L. E., Benedetti, M., Pimenta, C., Grinsztejn, B., et Veloso, V. G. (2021). Impact of COVID-19 Pandemic on Sexual Minority Populations in Brazil: An Analysis of Social/Racial Disparities in Maintaining Social Distancing and a Description of Sexual Behavior. AIDS and Behavior, 25(1), 73‑84. https://doi.org/10.1007/s10461-020-02984-110.1007/s10461-020-02984-1 Google Scholar Search this bibliographic reference on Google Scholar
- United Nations Programme on HIV/AIDS, Comité national de lutte contre le Sida, Programme National Multisectoriel de Lutte contre le Sida et Centre International d’Appui au Renforcement des Systèmes de Santé. (2021). Baromètre analytique de la lutte contre le VIH/Sida en République démocratique du Congo. Progrès dans la réalisation des objectifs 95-95-95. https://www.unaids.org/sites/default/files/2021_RDC_barometre_fr.pdfGoogle Scholar Search this bibliographic reference on Google Scholar
- Van Overbeek, F., et Tamás, P. A. (2018). Autochthony and insecure land tenure: The spatiality of ethnicized hybridity in the periphery of post-conflict Bukavu, DRC. Journal of Eastern African Studies, 12(2), 290‑309. https://doi.org/10.1080/17531055.2018.145908410.1080/17531055.2018.1459084 Google Scholar Search this bibliographic reference on Google Scholar
- Wimba, P. M., Bazeboso, J.-A., Katchunga, P. B., Tshilolo, L., Longo-Mbenza, B., Rabilloud, M., Vanhems, P., Iwaz, J., Étard, J.-F., et Écochard, R. (2020). A dashboard for monitoring preventive measures in response to COVID-19 outbreak in the Democratic Republic of Congo. Tropical Medicine and Health, 48(1), 74. https://doi.org/10.1186/s41182-020-00262-310.1186/s41182-020-00262-3 Google Scholar Search this bibliographic reference on Google Scholar
- World Health Organization. (2020). Coronavirus disease 2019 (COVID-19). Situation Report-50. https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200310-sitrep-50-covid-19.pdfGoogle Scholar Search this bibliographic reference on Google Scholar
- World Health Organization. (2022). Training Manual – Implementation of DHIS2. https://phkh.nhsrc.pk/sites/default/files/2022-07/Training%20Manual%20for%20Implementation%20of%20DHIS2%20System%20ICT%202022.pdfGoogle Scholar Search this bibliographic reference on Google Scholar