A qualitative study of barriers to enrollment into free HIV care: perspectives of never-in-care HIV-positive patients and providers in Rakai, Uganda

Post Date: 
2013-07-23
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Countries: 
Publication: 
BioMed Research International
Summary: 
Background: Early entry into HIV care is low in Sub-Saharan Africa. In Rakai, about a third (31.5%) of HIV-positive clients who knew their serostatus did not enroll into free care services. This qualitative study explored barriers to entry into care from HIV-positive clients who had never enrolled in care and HIV care providers.
 
Methods: We conducted 48 in-depth interviews among HIV-infected individuals aged 15-49 years, who had not entered care within six months of result receipt and referral for free care. Key-informant interviews were conducted with 12 providers. Interviews were audio-recorded and transcripts subjected to thematic content analysis based on the health belief model.
Citation: 
Nakigozi G, Atuyambe L, Kamya M, Makumbi F, Chang LW, Nakyanjo N, Kigozi G, Nalugoda F, Kiggundu V, Serwadda D, Awaer MJ, Gray RH. A qualitative study of barriers to enrollment into free HIV care: perspectives of never-in-care HIV-positive patients and providers in Rakai, Uganda. BioMed Research International. 2013 Jul 23:470245. PMCID: PMC3766571.
Collaborators: 
  • Rakai Health Sciences Program, Rakai, Uganda
  • Makerere University School of Public Health, Kampala, Uganda
  • Makerere University College of Health Sciences, Kampala, Uganda
  • Johns Hopkins Bloomberg School of Public Health, 627 N. Washington Street, Baltimore, MD