Factors associated with access to HIV care services in eastern Uganda: the Kumi home based HIV counseling and testing program experience
| Autor: | John Bosco Ddamulira, Henry Wamani, David Lubogo, Raymond Tweheyo |
|---|---|
| Jazyk: | angličtina |
| Předmět: |
Adult
Counseling Male medicine.medical_specialty Adolescent Family support Voluntary counseling and testing Population Psychological intervention HIV Infections Health Services Accessibility Young Adult Sex Factors Acquired immunodeficiency syndrome (AIDS) Nursing Health facility Anti-Infective Agents Surveys and Questionnaires Trimethoprim Sulfamethoxazole Drug Combination medicine Humans Family Uganda Young adult education education.field_of_study business.industry Pneumonia Pneumocystis Age Factors AIDS Serodiagnosis virus diseases Middle Aged medicine.disease Access Cross-Sectional Studies Family medicine HIV care services Female Cotrimoxazole prophylaxis Home based counseling and Testing Rural area business Family Practice Research Article |
| Zdroj: | BMC Family Practice |
| ISSN: | 1471-2296 |
| DOI: | 10.1186/s12875-015-0379-6 |
| Popis: | Background The HIV/AIDS health challenge continues to ravage many resource-constrained countries of the world. Approximately 75 % of all the global HIV/AIDS related deaths totaling 1.6 (1.4–1.9) million in 2012 occurred in sub-Saharan Africa, Uganda contributed 63,000 (52,000–81,000) to these deaths. Most of the morbidity and mortality associated with HIV/AIDS can be averted if individuals with HIV/AIDS have improved access to HIV care and treatment. The aim of this study therefore, was to explore the factors associated with access to HIV care services among HIV seropositive clients identified by a home based HIV counseling and testing program in Kumi district, eastern Uganda. Methods In a cross sectional study conducted in February 2009, we explored predictor variables: socio-demographics, health facility and community factors related to access to HIV care and treatment. The main outcome measure was reported receipt of cotrimoxazole for prophylaxis. Results The majority [81.1 % (284/350)] of respondents received cotrimoxazole prophylaxis (indicating access to HIV care). The main factors associated with access to HIV care include; age 25–34 years (AOR = 5.1, 95 % CI: 1.5–17.1), male sex (AOR = 2.3, 95 % CI: 1.2–4.4), urban residence (AOR = 2.5, CI: 1.1–5.9) and lack of family support (AOR = 0.5, CI: 0.2–0.9). Conclusions There was relatively high access to HIV care and treatment services at health facilities for HIV positive clients referred from the Kumi home based HIV counseling and testing program. The factors associated with access to HIV care services include; age group, sex, residence and having a supportive family. Stakeholders involved in providing HIV care and treatment services in similar settings should therefore consider these socio-demographic variables as they formulate interventions to improve access to HIV care services. Electronic supplementary material The online version of this article (doi:10.1186/s12875-015-0379-6) contains supplementary material, which is available to authorized users. |
| Databáze: | OpenAIRE |
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