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  5. 'Condoms are hard to get by': access to HIV prevention methods during lockdown of the COVID-19 epidemic in eastern Zimbabwe
 
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'Condoms are hard to get by': access to HIV prevention methods during lockdown of the COVID-19 epidemic in eastern Zimbabwe
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Condoms are hard to get by access to HIV prevention methods during lockdown of the COVID 19 epidemic in eastern Zimbabwe.pdf (5.46 MB)
Published version
Author(s)
Skovdal, Morten
Maunzagona, Tanyaradzwa
Dzamatira, Freedom
Magoge-Mandizvidza, Phyllis
Maswera, Rufurwokuda
more
Type
Journal Article
Abstract
BACKGROUND: In the early phase of the coronavirus disease 2019 (COVID-19) pandemic, health services were disrupted worldwide, including HIV prevention services. While some studies have begun to document the effects of COVID-19 on HIV prevention, little has been done to qualitatively examine how lockdown measures were experienced and perceived to affect access to HIV prevention methods in sub-Saharan Africa. OBJECTIVES: To explore how the COVID-19 pandemic was perceived to affect access to HIV prevention methods in eastern Zimbabwe. METHOD: This article draws on qualitative data from the first three data collection points (involving telephone interviews, group discussions, and photography) of a telephone and WhatsApp-enabled digital ethnography. Data were collected from 11 adolescent girls and young women and five men over a 5-month period (March-July 2021). The data were analysed thematically. RESULTS: Participants reported widespread interruption to their condom supply when beerhalls were shut down as part of a nationwide lockdown. Restrictions in movement meant that participants who could afford to buy condoms from larger supermarkets or pharmacies were unable to. Additionally, the police reportedly refused to issue letters granting permission to travel for the purpose of accessing HIV prevention services. The COVID-19 pandemic was also described to obstruct the demand (fear of COVID-19, movement restrictions) and supply (de-prioritised, stock-outs) for HIV prevention services. Nonetheless, under certain formal and informal circumstances, such as accessing other and more prioritised health services, or 'knowing the right people', some participants were able to access HIV prevention methods. CONCLUSION: People at risk of HIV experienced the COVID-19 epidemic in Zimbabwe as disruptive to access to HIV prevention methods. While the disruptions were temporary, they were long enough to catalyse local responses, and to highlight the need for future pandemic response capacities to circumvent a reversal of hard-won gains in HIV prevention.
Date Issued
2023
Date Acceptance
2023-04-18
Citation
Global Health Action, 2023, 16 (1), pp.1-10
URI
http://hdl.handle.net/10044/1/104317
URL
https://www.tandfonline.com/doi/full/10.1080/16549716.2023.2206207
DOI
https://www.dx.doi.org/10.1080/16549716.2023.2206207
ISSN
1654-9880
Publisher
Taylor & Francis Group
Start Page
1
End Page
10
Journal / Book Title
Global Health Action
Volume
16
Issue
1
Copyright Statement
© 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits
unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The terms on which this article has been published allow the
posting of the Accepted Manuscript in a repository by the author(s) or with their consent.
License URL
https://creativecommons.org/licenses/by/4.0/
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/37133235
Subjects
Acquired Immunodeficiency Syndrome
Adolescent
Communicable Disease Control
Condoms
COVID-19
Female
HIV Infections
Humans
Male
Pandemics
Zimbabwe
condoms
COVID-19
HIV prevention
pandemic response
Zimbabwe
Publication Status
Published
Coverage Spatial
United States
Article Number
2206207
Date Publish Online
2023-05-03
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