Mohamed, Issa
(2020)
Assessment of the Factors HinderingRetention of People Living With HIV AND AIDS in Care Services in Iringa Tanzania: A Case of Care and Treatment Centers in Kilolo District Council.
Masters thesis, The Open University of Tanzania.
Abstract
The focus of this study was to assess the factors hinderingthe retention of people living with HIV/AIDS using Care and Treatment services as a case study in Kilolo District. Specifically, the study aimed to examine social factors, economic factors, health related factors and patient related factors as they influence retention. The study was qualitative using interview guide through the interviews to collect the data. Non probability sampling with purposive sampling techniques employed to obtain 60 respondents from Ilula. Thematic analysis used to analyze the data regarding the factors while descriptive statistics employed while analyzing the demographic characteristics of respondents.The study results indicate that patient, social, health systems and economic concerns affect patient retention in care particularly poor customer care, travel distance to ART centers, cost of transportation and high patient load with long waiting times at the clinic represented the greatest barrier to access treatment. In additional, HIV related- stigma and non-disclosure of HIV status to sexual partners and families are significant barriers. However, if the needs of patients are to be met, systems in health facilities need to be strengthened to reduce loss to follow up, increase adherence and promote long term retention.
Keywords: Factors Hindering Retention of People Living with HIV and AIDS in Care Services
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