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10.1002/jia2.25587 http://scihub22266oqcxt.onion/10.1002/jia2.25587 32767707!7405155!32767707     free     free     free Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       J+Int+AIDS+Soc 2020 ; 23 (8): e25587 Nephropedia Template TP {{tp|p=32767707|t=2020. PEPFAR s response to the convergence of the HIV and COVID-19 pandemics in Sub-Saharan Africa |pdf=|usr=}}{{32767707}} gab.com Text PEPFAR s response to the convergence of the HIV and COVID-19 pandemics in Sub-Saharan Africa JO: J Int AIDS Soc http://www.kidney.de/pget.php?&tw=1&pmid=32767707 #FOAvip INTRODUCTION: The COVID-19 pandemic reached the African continent in less than three months from when the first cases were reported from mainland China. As COVID-19 preparedness and response plans were rapidly instituted across sub-Saharan Africa, many governments and donor organizations braced themselves for the unknown impact the COVID-19 pandemic would have in under-resourced settings with high burdens of PLHIV. The potential negative impact of COVID-19 in these countries is uncertain, but is estimated to contribute both directly and indirectly to the morbidity and mortality of PLHIV, requiring countries to leverage existing HIV care systems to propel COVID-19 responses, while safeguarding PLHIV and HIV programme gains. In anticipation of COVID-19-related disruptions, PEPFAR promptly established guidance to rapidly adapt HIV programmes to maintain essential HIV services while protecting recipients of care and staff from COVID-19. This commentary reviews PEPFAR's COVID-19 technical guidance and provides country-specific examples of programme adaptions in sub-Saharan Africa. DISCUSSION: The COVID-19 pandemic may pose significant risks to the continuity of HIV services, especially in countries with high HIV prevalence and weak and over-burdened health systems. Although there is currently limited understanding of how COVID-19 affects PLHIV, it is imperative that public health systems and academic centres monitor the impact of COVID-19 on PLHIV. The general principles of the HIV programme adaptation guidance from PEPFAR prioritize protecting the gains in the HIV response while minimizing in-person home and facility visits and other direct contact when COVID-19 control measures are in effect. PEPFAR-supported clinical, laboratory, supply chain, community and data reporting systems can play an important role in mitigating the impact of COVID-19 in sub-Saharan Africa. CONCLUSIONS: As community transmission of COVID-19 continues and the number of country cases rise, fragile health systems may be strained. Utilizing the adaptive, data-driven programme approaches in facilities and communities established and supported by PEPFAR provides the opportunity to strengthen the COVID-19 response while protecting the immense gains spanning HIV prevention, testing and treatment reached thus far. Twit Text FOAVip PEPFAR s response to the convergence of the HIV and COVID-19 pandemics in Sub-Saharan Africa ????J Int AIDS Soc http://www.kidney.de/pget.php?&tw=1&pmid=32767707 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=32767707 #FOAvip English Wikipedia <ref>{{Cite pmid|32767707}}</ref> PEPFAR s response to the convergence of the HIV and COVID-19 pandemics in Sub-Saharan Africa #MMPMID32767707 Golin R; Godfrey C; Firth J; Lee L; Minior T; Phelps BR; Raizes EG; Ake JA; Siberry GK J Int AIDS Soc 2020[Aug]; 23 (8): e25587 PMID32767707show ga INTRODUCTION: The COVID-19 pandemic reached the African continent in less than three months from when the first cases were reported from mainland China. As COVID-19 preparedness and response plans were rapidly instituted across sub-Saharan Africa, many governments and donor organizations braced themselves for the unknown impact the COVID-19 pandemic would have in under-resourced settings with high burdens of PLHIV. The potential negative impact of COVID-19 in these countries is uncertain, but is estimated to contribute both directly and indirectly to the morbidity and mortality of PLHIV, requiring countries to leverage existing HIV care systems to propel COVID-19 responses, while safeguarding PLHIV and HIV programme gains. In anticipation of COVID-19-related disruptions, PEPFAR promptly established guidance to rapidly adapt HIV programmes to maintain essential HIV services while protecting recipients of care and staff from COVID-19. This commentary reviews PEPFAR's COVID-19 technical guidance and provides country-specific examples of programme adaptions in sub-Saharan Africa. DISCUSSION: The COVID-19 pandemic may pose significant risks to the continuity of HIV services, especially in countries with high HIV prevalence and weak and over-burdened health systems. Although there is currently limited understanding of how COVID-19 affects PLHIV, it is imperative that public health systems and academic centres monitor the impact of COVID-19 on PLHIV. The general principles of the HIV programme adaptation guidance from PEPFAR prioritize protecting the gains in the HIV response while minimizing in-person home and facility visits and other direct contact when COVID-19 control measures are in effect. PEPFAR-supported clinical, laboratory, supply chain, community and data reporting systems can play an important role in mitigating the impact of COVID-19 in sub-Saharan Africa. CONCLUSIONS: As community transmission of COVID-19 continues and the number of country cases rise, fragile health systems may be strained. Utilizing the adaptive, data-driven programme approaches in facilities and communities established and supported by PEPFAR provides the opportunity to strengthen the COVID-19 response while protecting the immense gains spanning HIV prevention, testing and treatment reached thus far. |*Betacoronavirus[MESH] |*Delivery of Health Care/economics/standards/statistics & numerical data[MESH] |Acquired Immunodeficiency Syndrome/complications/drug therapy/epidemiology/mortality[MESH] |Africa South of the Sahara/epidemiology[MESH] |COVID-19[MESH] |China[MESH] |Coronavirus Infections/*complications/drug therapy/epidemiology[MESH] |Cost of Illness[MESH] |HIV Infections/*complications/drug therapy/epidemiology/mortality[MESH] |Humans[MESH] |International Cooperation[MESH] |Pandemics[MESH] |Pneumonia, Viral/*complications/drug therapy/epidemiology[MESH] |Prevalence[MESH]PEPFAR s response to the convergence of the HIV and COVID-19 pandemics(epmc).pdf DeepDyve Pubget Overpricing