Desperate times call for desperate measures: Adapting antiretroviral service delivery in the context of the COVID-19 pandemic

Abstract

On 23 March 2020, President Cyril Ramaphosa announced a nation-wide lockdown to help curb the spread of the COVID-19 epidemic in South Africa (SA). While these containment measures are considered to have limited the spread of COVID-19 in SA, the economic and social consequences, including the impact on healthcare service delivery, are prominent. Regarding healthcare service delivery, there are concerns about people who could be at risk of experiencing severe COVID-19 infection, and about meeting the needs of people with chronic diseases such as people living with HIV (PLHIV). In the context of the COVID-19 pandemic, PLHIV with an unsuppressed viral load may be at increased risk of developing severe COVID-19-related conditions and potentially dying, especially those who are co-infected with tuberculosis (TB).