Impact of COVID-19 pandemic on the utilization of ART Centre Services of a teaching hospital


  • Rashmi Bhujade Uttar Pradesh University of Medical Sciences, Saifai, Uttar Pradesh
  • Anupama Srivastva Sarojini Naidu Medical College, Agra, Uttar Pradesh
  • Renu Agrawal Sarojini Naidu Medical College, Agra, Uttar Pradesh
  • Anil Baghel Government Medical College, Dungarpur, Rajasthan



Pandemics, HIV Infections, impact of COVID-19 pandemic, Utilization of ART services


Background- COVID-19 pandemic has had a huge impact on the collateral health system. It made access to essential health services difficult. Such an essential service is a service provided to HIV patients. This study was planned to assess the effect of the current COVID-19 pandemic on Anti-Retroviral therapy (ART) center services. Methods -Pre-recorded epidemiological data from an ART center of a teaching hospital was used to answer the research question. Data was collected for retrieving 4 parameters i.e. number of registrations, number of HIV-positive patients kept on ART, number of deaths, and loss to follow up of the COVID-19 year and non-COVID-19 year then comparison was made between both. Data analysis was done with the help of SPSS. Independent t-test, one-way ANOVA test, and multiple comparison Tuckey’s test were applied. Results- Statistically significant difference was noted in the total number of registrations, the number of patients kept on ART, death, and loss to follow-up in non- COVID-19 & COVID-19 years.  After appling above mentioned statistical test the p-value came out to be <0.05. Conclusion-COVID-19 pandemic has adversely affected the auxiliary non-COVID-19 health services and health programs. The current study gives evidence that ART functioning is negatively affected by the COVID-19 pandemic.


Download data is not yet available.


Bayani DB, Tan SG. Health systems impact of COVID-19 in the Philippines. Washington, DC, USA: Center for Global Development; 2021 Mar. (Accessed on 24-04-2024).

Sachdev D, Mara E, Hsu L, Scheer S, Rutherford G, Enanoria W, Gandhi M. COVID-19 susceptibility and outcomes among people living with HIV in San Francisco. Journal of acquired immune deficiency syndromes (1999). 2021;86(1):19.

World Health Organization, 2020. WHO: access to HIV medicines severely impacted by COVID-19 as AIDS response stalls. 2020–07–06)[2022–02–11]. Available from: (Accessed on 24-04-2024).

Govender R, Moodley J, Naicker T. The COVID-19 pandemic: an appraisal of its impact on human immunodeficiency virus infection and pre-eclampsia. Current Hypertension Reports. 2021;23:1-5.

Chenneville T, Gabbidon K, Hanson P, Holyfield C. The impact of COVID-19 on HIV treatment and research: a call to action. International journal of environmental research and public health. 2020;17(12):4548.

Hogan, A.B., Jewell, B.L., Sherrard-Smith, E., Vesga, J.F., Watson, O.J., Whittaker, C., Hamlet, A., Smith, J.A., Winskill, P., Verity, R. and Baguelin, M., Potential impact of the COVID-19 pandemic on HIV, tuberculosis, and malaria in low-income and middle-income countries: a modelling study. The Lancet global health, 2020;8(9):e1132-e1141.

Boyd AT, Jahun I, Dirlikov E, Greby S, Odafe S, Abdulkadir A, Odeyemi O, Dalhatu I, Ogbanufe O, Abutu A, Asaolu O. Expanding access to HIV services during the COVID-19 pandemic—Nigeria, 2020. AIDS Research and Therapy. 2021;18:1-8.

Lagat H, Sharma M, Kariithi E, Otieno G, Katz D, Masyuko S, Mugambi M, Wamuti B, Weiner B, Farquhar C. Impact of the COVID-19 pandemic on HIV testing and assisted partner notification services, Western Kenya. AIDS and Behavior. 2020;24:3010.

The impact of COVID-19 on HIV, TB and malaria services and systems for health - Updates - The Global Fund to Fight AIDS, Tuberculosis and Malaria [Internet]. [cited 2024 Feb 6]. Available from:

Quiros-Roldan E, Magro P, Carriero C, Chiesa A, El Hamad I, Tratta E, Fazio R, Formenti B, Castelli F. Consequences of the COVID-19 pandemic on the continuum of care in a cohort of people living with HIV followed in a single center of Northern Italy. AIDS research and therapy. 2020;17:1-8.

Prabhu S; Poongulalib S; Kumarasamy N. Impact of COVID-19 on people living with HIV: A review. J Virus Eradication. 2020;6(4):100019.

Mellor MM, Bast AC, Jones NR, Roberts NW, Ordóñez-Mena JM, Reith AJ, Butler CC, Matthews PC, Dorward J. Risk of adverse COVID-19 outcomes for people living with HIV: a rapid review and meta-analysis. MedRxiv. 2020:2020-09.

Dorward J, Khubone T, Gate K, Ngobese H, Sookrajh Y, Mkhize S, Jeewa A, Bottomley C, Lewis L, Baisley K, Butler CC. The impact of the COVID-19 lockdown on HIV care in 65 South African primary care clinics: an interrupted time series analysis. The Lancet HIV. 2021;8(3):e158-65.

Bhaskaran K, Rentsch CT, Mackenna B, Schultze A, Mehrkar A, Bates CJ et al HIV infection and COVID-19 death: a population -based cohort analysis of UK primary care data and linked national death registrations within the open safely platform. The Lancet HIV2021;8(1):e24-32. on (24-04-2024)

Celestin K, Allorant A, Virgin M, Marinho E, Francois K, Honoré JG, White C, Valles JS, Perrin G, De Kerorguen N, Flowers J. Short-term effects of the COVID-19 pandemic on HIV care utilization, service delivery, and continuity of HIV antiretroviral treatment (ART) in Haiti. AIDS and Behavior. 2021;25:1366-72.

Jewell BL, Mudimu E, Stover J, Ten Brink D, Phillips AN, Smith JA, Martin-Hughes R, Teng Y, Glaubius R, Mahiane SG, Bansi-Matharu L. Potential effects of disruption to HIV programmes in sub-Saharan Africa caused by COVID-19: results from multiple mathematical models. The lancet HIV. 2020;7(9):e629-40.

Adugna A, Azanaw J, Sharew Melaku M. The effect of COVID-19 on routine HIV care services from health facilities in Northwest Ethiopia. HIV/AIDS-Research and Palliative Care. 2021:1159-68.

Lee JA, Kim Y, Choi JY. Impact of the COVID-19 pandemic on HIV services in Korea: results from a cross-sectional online survey. Infection & Chemotherapy. 2021;53(4):741.

Kowalska JD, Skrzat-Klapaczy?ska A, Bursa D, Balayan T, Begovac J, Chkhartishvili N, Gokengin D, Harxhi A, Jilich D, Jevtovic D, Kase K. HIV care in times of the COVID-19 crisis—Where are we now in Central and Eastern Europe?. International journal of infectious diseases. 2020;96:311-4




How to Cite

Bhujade R, Srivastva A, Agrawal R, Baghel A. Impact of COVID-19 pandemic on the utilization of ART Centre Services of a teaching hospital. Indian J Community Health [Internet]. 2024 Apr. 30 [cited 2024 Jul. 24];36(2):180-7. Available from:



Original Article

Most read articles by the same author(s)