Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Mar;24(1):42-58.
doi: 10.4314/ahs.v24i1.7.

Barriers to enrolment of clients into community client led anti-retroviral therapy delivery (CCLAD) in selected health facilities in Kasese district, Uganda

Kizito Omona  1 , Alex Bwogi Kanyerezi  2
Affiliations

Barriers to enrolment of clients into community client led anti-retroviral therapy delivery (CCLAD) in selected health facilities in Kasese district, Uganda

Kizito Omona et al. Afr Health Sci. 2024 Mar.

Abstract

Background: Community Client Led Anti-retroviral therapy Delivery (CCLAD) Model has been associated with increased community participation and ownership, which leads to better treatment outcomes with reduced workload and increased client satisfaction of health services.

Aim: To explore the barriers to enrolment of eligible clients into CCLAD in selected health facilities in Kasese District, Uganda.

Materials & methods: Analytical cross-sectional study utilizing mixed method approach was conducted among 384 PLWHIV attending public health facilities of Kasese District. Sampling was done by simple random sampling method. Data was collected using researcher-administered questionnaire method and interview guide.

Results: Most of the respondents 253(65.9%) had not yet enrolled into CCLAD. This was due to some client-related factors such as non-disclosure of HIV sero-status (p=0.040), person to whom HIV sero-status was disclosed to (p=0.009), not having ever heard about CCLAD (p=0.000), incorrect description of CCLAD (p=0.000), limited knowledge of advantages of CCLAD (p=0.000) or disadvantages of CCLAD (p=0.003). Other barriers were; failure to have access to organizations or groups that support PLWHIV to get treatment (p=0.025) and duration of ART refills [AOR=1.637, 95% CI (0.820 - 3.270)].

Conclusion: Adoption of CCLAD model among PLWHIV in Kasese District is still low.

Keywords: Community client led anti-retroviral therapy delivery (CCLAD); Enrolment; Health care and public health.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest and no external funding for this study.

Similar articles

See all similar articles

References

    1. Bemelmans M, Baert S, Goemaere E, Wilkinson L, Vandendyck M, van Cutsem G, et al. Community-supported models of care for people on HIV treatment in sub-Saharan Africa. Trop Med Int Health TM IH. 2014 Aug;19(8):968–977. - PubMed
    1. UNAIDS, author. UNAIDS data 2018 | UNAIDS [Internet] 2020. Available from: https://www.unaids.org/en/resources/documents/2018/unaids-data-2018.
    1. Omona K, Laban S. Factors associated with uptake of community client-led ART delivery model at Mulago adult HIV clinic _ Mulago National Referral Hospital. Cogent Med. 2021;8(1):1896427. Mo P, editor.
    1. UNAIDS, author. UNAIDS Data 2019 [Internet] New York: 2020. Available from: https://www.unaids.org/sites/default/files/media_asset/2019-UNAIDS-data_....
    1. Reniers G, Blom S, Calvert C, Martin-Onraet A, Herbst AJ, Eaton JW, et al. Trends in the burden of HIV mortality after roll-out of antiretroviral therapy in KwaZulu-Natal, South Africa: an observational community cohort study. Lancet HIV. 2017 Mar;4(3):e113–e121. - PMC - PubMed

LinkOut - more resources