Impact on PLWHIV |
Health status |
Decreased immune system |
x |
x |
|
|
|
x |
Additional diseases and malnutrition |
x |
x |
x |
x |
x |
x |
Decreased effect of ART |
x |
x |
x |
x |
|
x |
Defaulting, interrupting of ART |
x |
x |
x |
x |
x |
x |
Social network |
Disruption of families and social network |
x |
x |
x |
|
x |
x |
Destruction of schools and churches |
x |
x |
x |
x |
x |
Stigma and health-seeking behaviour |
x |
x |
x |
x |
x |
Impact on HIV service provision |
Inaccessibility of HIV services |
Distance to health facilities |
x |
x |
x |
|
|
x |
Destruction of infrastructure |
x |
x |
x |
|
x |
x |
Increased cost of transport |
x |
x |
x |
|
x |
x |
Inaccessible health facilities |
x |
x |
x |
x |
x |
x |
Disruption of ART adherence |
x |
x |
x |
x |
x |
x |
Inaccessible schools and churches |
x |
x |
x |
|
x |
x |
Limited staff |
x |
x |
x |
|
|
x |
Limited health sector resources |
|
x |
x |
|
|
x |
Barriers to using HIV services |
Stigma, disruption of social networks |
x |
x |
x |
x |
|
x |
Food shortage and lack of safe water |
x |
x |
x |
|
|
x |
Positive impact on service provision |
Increased service provision |
|
x |
x |
|
|
x |
Provision by helicopters, etc. |
x |
x |
x |
|
|
x |
Impact on HIV transmission |
Inaccessibility of services |
Lack of information |
x |
x |
x |
x |
x |
x |
Lack of condoms and family planning |
x |
x |
x |
|
x |
x |
Lack of HIV testing, PMTCT, and ART |
x |
|
|
|
x |
x |
Barriers to effectiveness of services |
Counselling and care |
x |
x |
x |
|
x |
x |
Malnutrition |
x |
x |
x |
x |
x |
x |
Defaulting ART |
x |
x |
x |
x |
x |
x |
Factors influencing transmission |
Decreased safety and camp conditions |
x |
x |
x |
x |
|
x |
Sexual violence, crimes, alcohol abuse |
x |
x |
x |
x |
x |
x |
Unsafe sex |
|
x |
x |
|
|
x |
Transactional and survival sex |
|
|
|
|
x |
x |
Disruption of families and social networks |
x |
x |
x |
|
|
x |
Outbreak of diseases |
x |
x |
x |
|
x |
x |
Decreased immune system |
x |
x |
|
|
|
x |
General risk behaviour |
|
x |
x |
|
x |
x |
Stigmatisation |
|
x |
x |
x |
|
x |