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How the HIV response is adapting in the face of COVID-19

All over the world, community-based organisations are initiating innovations in HIV services to continue reaching people with what they need most, be it medicine, food, psychosocial support or emergency accommodation.

When COVID-19 and lockdown struck Kenya, Frontline AIDS’ partner LVCT Health quickly arranged for all their service users living with HIV to be given a three-month stock of antiretroviral treatment.

Multi-month supplies of condoms and pre-exposure prophylaxis (PrEP) were given to clients needing HIV prevention services. Peer support groups were moved online and treatment adherence support was transferred to SMS, WhatsApp and a toll-free helpline.

In India, the Mizoram Drug Users’ Forum successfully lobbied the government to allow prescription of take-home methadone, and to allow new users to register for opioid substitution therapy, a service that had been cut back or stopped because of the pressure that COVID-19 had put on the health system.

When travel restrictions were introduced across Ecuador, community-based organisation Kimirina rapidly expanded their telemedicine service by which people can get a doctors’ appointment via Zoom, at no cost to the client. The service users, most of whom are men who have sex with men, are contacted by community outreach workers who have been active in the communities over many years and are a trusted source of support and information.

Obstacles to health and wellbeing are magnified by COVID-19

These examples, from our new report Transforming the HIV response,  highlight a few of the innovations that Frontline AIDS partners have introduced to safeguard services for marginalised people during the COVID-19 pandemic. They have stepped in where governments have failed to support or, worse, where authorities have used the exceptional circumstances to clamp down on people already stigmatised and discriminated against. 

Marginalised people living with or at risk of acquiring HIV face significant barriers to health and wellness at the best of times. These barriers have only been exacerbated by the COVID-19 pandemic and the measures instigated to mitigate it. We are deeply concerned to see that: 

  • People are struggling to meet their basic needs. No longer able to earn an income they cannot access essentials including food, water and shelter and have become increasingly dependent on government or community services, where these are available. Some health services are inaccessible. There are widespread reports of antiretroviral treatment shortages and disruptions to the supply of contraception, as well as interruptions to tuberculosis testing and treatment.  
  • People fear for their own safety and security. This includes lesbian, gay, bisexual and transgender (LGBT) people fearing being outed, arrested, physically harm