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dc.contributor.authorOmam, Lundi-Anne
dc.contributor.authorJarman, Elizabeth
dc.contributor.authorEkokobe, Wilfred
dc.contributor.authorEvon, Agbor
dc.contributor.authorOmam, Esther Njomo
dc.date.accessioned2022-01-04T14:33:21Z
dc.date.available2022-01-04T14:33:21Z
dc.date.issued2021-12-14
dc.date.submitted2021-05-21
dc.identifier.issn1752-1505
dc.identifier.others13031-021-00427-9
dc.identifier.other427
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/331905
dc.description.abstractINTRODUCTION: The guidelines for differentiated service delivery (DSD) for HIV treatment became operational in Cameroon in 2017 with the Test and Treat national strategy elaborating services that can be decentralized and task shifted at community level, but with little to no guidelines for DSD in fragile and conflict-affected settings. Since 2016, more than 680,000 Cameroonians have been internally displaced due to the conflict in the North West and South West regions (NWSW). This conflict has impacted on the health system with numerous attacks on health facilities and staff, reducing access to health care for internally displaced persons. The outbreak of COVID-19 further reduced humanitarian responses for fear of spreading COVID-19. Mobile clinics were utilized as a model of care in piloting DSD for HIV in conflict-affected settings within the COVID-19 context. METHODS: The HIV DSD framework was used to evaluate a project that used mobile clinics in 05 divisions across the NWSW to provide primary health care to internally displaced persons in hard-to-reach areas. These mobile clinics were operated in the COVID-19 context and integrated HIV services in the benefit package. The mobile clinics mainstreamed HIV and COVID-19 sensitization during community mobilization, HIV consultations, HIV testing and referrals, and in some cases antiretroviral (ARV) dispensation. The project ran from March to October 2020. The results from the evaluation of this model of HIV care delivery were analysed in 06 of 08 mobile clinics. RESULTS: In 07 months, a total of 14,623 persons living in conflict-affected settings were sensitized on HIV, 1979 received HIV testing from which 122 were positive and 33 placed on ARVs. 28 loss-to-follow up people living with HIV were relinked to treatment and 209 consultations for persons living with HIV were conducted. Despite the good collaboration at regional and field level, there was distrust by ARV centers for humanitarian organizations. CONCLUSION: Mobile clinics are a model of care which could be leveraged in fragile and conflict-affected settings as an alternative model of care for HIV DSD to ensure continuum of HIV care and treatment. However this should be integrated within the benefit package of primary health care services offered by mobile clinics.
dc.languageen
dc.publisherSpringer Science and Business Media LLC
dc.subjectResearch in Practice
dc.subjectCOVID-19 and humanitarian crises
dc.subjectMobile clinics
dc.subjectHIV
dc.subjectDifferentiated service delivery
dc.subjectCOVID-19
dc.subjectConflict-affected
dc.titleMobile clinics in conflict-affected communities of North West and South West regions of Cameroon: an alternative option for differentiated delivery service for internally displaced persons during COVID-19.
dc.typeArticle
dc.date.updated2022-01-04T14:33:20Z
prism.issueIdentifier1
prism.publicationNameConfl Health
prism.volume15
dc.identifier.doi10.17863/CAM.79355
dcterms.dateAccepted2021-12-01
rioxxterms.versionofrecord10.1186/s13031-021-00427-9
rioxxterms.versionVoR
rioxxterms.licenseref.urihttp://creativecommons.org/licenses/by/4.0/
dc.contributor.orcidOmam, Lundi-Anne [0000-0001-8240-8920]
dc.identifier.eissn1752-1505
pubs.funder-project-idWorld Health Organisation (20-RR-WHO-005, 19-UF-WHO-050)
cam.issuedOnline2021-12-14


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