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Multiple impacts of the COVID-19 crisis on women and girls living with HIV (W&GLHIV) and at high risk of HIV in Africa: Nigeria study

Authors: Lamontagne, Erik; Folayan, Morenike Oluwatoyin; Sunday, Aaron; Amaka, Enemo; Anthonia, Umenwobi; Amira, Muhammad; Abdullahi, Rilwan; +2 Authors

Multiple impacts of the COVID-19 crisis on women and girls living with HIV (W&GLHIV) and at high risk of HIV in Africa: Nigeria study

Abstract

This is a presentation of preliminary results of the Awolowo and UNAIDS survey on: "The social and economic impact of COVID-19 on SRH, TB and HIV prevention and treatment access, wellbeing, and economic vulnerability of adolescent girls and women living with or at risk for HIV in Africa". This survey is aimed at conducting an observational, non-interventional, global cross-sectional internet survey to determine how the COVID-19 crisis has exacerbated economic vulnerabilities and inequalities among adolescent girls and women living with or at risk of HIV. Additionally, this study aims to determine the sociodemographic, economic, and clinical factors associated with reduced access to SRH, TB, and HIV prevention and treatment following the COVID-19 crisis among participants. Methods: An internet sampling method will be used to conduct the cross-sectional survey recruiting adolescent girls and women living with or at risk of HIV in South Africa, Egypt, Nigeria, Zimbabwe, and Senegal. Internet sampling has proven capable of reaching hard-to-sample populations, increasing the number of respondents from hard-to-reach populations, quickening recruitment, lowering operational costs, and increasing anonymity and security provided to participants. To safeguard the data privacy, rights, and welfare of the research participants, access to the online survey will be provided via an anonymous weblink. The survey will be open for six (6) weeks. The cross-sectional study is observational in nature and does not alter respondents' exposure status, and thus poses minimal to no risk to participants. We will conduct analyses to characterise the impact of COVID-19 on economic, social, mental, and physical health, as well as on SRH, TB, and HIV prevention and care among survey participants. The survey questionnaire provides essential components to fulfil the study objectives and was developed using selected standard protocols. Keywords COVID-19, gender discrimination, stigma, HIV, TB, SRH, Africa, internet survey

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