Impact of a COVID-19 National Lockdown on Integrated Care for Hypertension and HIV.


Schwartz JI(1)(2), Muddu M(2)(3), Kimera I(3), Mbuliro M(3), Ssennyonjo R(3), Ssinabulya I(2)(4)(5), Semitala FC(3)(5).
Author information:
(1)Section of General Internal Medicine, Yale University School of Medicine, New Haven, CT, US.
(2)Uganda Initiative for Integrated Management of Non-Communicable Diseases, Kampala, UG.
(3)Makerere University Joint AIDS Program, Makerere University College of Health Sciences, Kampala, UG.
(4)Uganda Heart Institute, Mulago National Referral Hospital, Kampala, UG.
(5)Department of Medicine, Makerere University College of Health Sciences, Kampala, UG.


Research Letter Introduction: Measures to limit the spread of COVID-19, such as movement restrictions, are anticipated to worsen outcomes for chronic conditions such as hypertension (HTN), in part due to decreased access to medicines. However, the actual impact of lockdowns on access to medicines and HTN control has not been reported. Between March 25 and June 30, 2020, the Government of Uganda instituted a nationwide lockdown. Health facilities remained open, however motor vehicle transportation was largely banned. In Ugandan public health facilities, HTN services are offered widely, however the availability of HTN medicines is generally low and inconsistent. In contrast, antiretrovirals for people with HIV (PWH) are free and consistently available at HIV clinics. We sought to evaluate the impact of the lockdown on access to medicines and clinical outcomes among a cohort of Ugandan patients with HTN and HIV.