(P171) HEALTHCARE PROFESSIONALS' PERSPECTIVES: MAINTAINING HIV CARE CONTINUITY DURING PANDEMICS - A CASE STUDY FROM CHILE

Background:
The emergence of the COVID-19 pandemic in 2019 significantly impacted healthcare resource allocation, prioritizing the response to this novel public health threat. This research investigated the impact on the clinical management of people living with HIV (PLHIV) within healthcare services of the Aconcagua Valley in Chile during this period.

Methods:
This qualitative case study, utilizing a phenomenological approach, explored the lived experiences of healthcare professionals regarding the clinical management of PLHIV in Chile's Aconcagua Valley during the COVID-19 pandemic. Semi-structured interviews delved into topics such as clinical procedures, factors influencing patient attendance, and the pandemic's impact on continuity of care. Thematic analysis was applied to the collected data.

Results:
Eleven healthcare professionals working with PLHIV in the Aconcagua Valley and two key informants from surrounding regions participated, with an average of 12 years of clinical experience. Participants described the clinical management experience during the pandemic as challenging, complex, and at times, even rewarding. They emphasized the participants' sense of responsibility, noting high adherence to check-ups and antiretroviral therapy among PLHIV. Reported barriers to accessing healthcare services included transportation limitations and fear of COVID-19 infection. Notably, a decrease in HIV screening was observed. Professionals recommended developing protocols for public health emergencies to ensure the continuity of HIV care and STI screening during future pandemics.

Conclusion:
While PLHIV maintained good adherence to treatment, the COVID-19 pandemic presented significant challenges. The study highlights the importance of considering healthcare professionals' recommendations for comprehensive and adaptable healthcare strategies during future public health emergencies.