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The Impact of the COVID-19 Pandemic on STI and HIV Services in the Netherlands According to Health Care Professionals

Annemarie Reilingh (), Jenneke Van Ditzhuijzen, Thijs Albers, Hanna Bos and John De Wit
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Annemarie Reilingh: Department of Obstetrics and Gynecology, Amsterdam University Medical Center, Meibergdreef 9, 1115 AZ Amsterdam, The Netherlands
Jenneke Van Ditzhuijzen: Department of Obstetrics and Gynecology, Amsterdam University Medical Center, Meibergdreef 9, 1115 AZ Amsterdam, The Netherlands
Thijs Albers: Department of Interdisciplinary Social Science, Utrecht University, Heidelberglaan 8, 3584 CS Utrecht, The Netherlands
Hanna Bos: Soa Aids Netherlands, Condensatorweg 54, 1014 AX Amsterdam, The Netherlands
John De Wit: Department of Interdisciplinary Social Science, Utrecht University, Heidelberglaan 8, 3584 CS Utrecht, The Netherlands

IJERPH, 2024, vol. 21, issue 6, 1-13

Abstract: Surveillance data from the Netherlands show that STI/HIV testing decreased at the start of the COVID-19 pandemic, suggesting barriers to access to STI/HIV care. However, the impact of the pandemic on STI/HIV care may be more complex, and key populations could be differentially affected. The aim of this study was to gain more insight into the impact of COVID-19 on STI/HIV care in the Netherlands from the perspective of STI/HIV care providers. We investigated whether professionals in STI/HIV care experienced changes compared to pre-COVID in access to STI/HIV care for priority populations, demand and provision of STI/HIV care, shifts to online STI/HIV counseling and care, and the quality assurance of STI/HIV care. An online survey was completed by 192 STI/HIV care professionals. Additionally, semi-structured interviews were held with 23 STI/HIV care professionals. According to participants, people in vulnerable circumstances, such as recent migrants and people with low health or digital literacy, may have had difficulties accessing STI/HIV care during the pandemic, especially during lockdowns and at public sexual health services. Hence, these may not have received the care they needed. Participants thought that COVID-19 measures may have compounded existing disparities. Furthermore, participants found that online care provision was not up to standard and were concerned about follow-up care for patients using private online providers of remote tests. It is important to explore how STI/HIV care for people in vulnerable circumstances can be ensured in future public health crises.

Keywords: COVID-19; STI/HIV care; sexual health; public health service; healthcare professionals; access to healthcare (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2024
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