Factors Associated with retention in care among people living with HIV/AIDS in Ubungo Municipality, Tanzania
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Date
2021-05-12
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Kamuzu University of Health Sciences
Abstract
Study type: This study will be cross sectional study utilizing a mixed method approach such
that both quantitative and qualitative method will be used.
The problem (to be studied): In Tanzania, 1.6 million people were living with HIV in 2018. This
equates to an estimated HIV prevalence among adults of 4.6%(1) with more women infected
than men. (2). In the same year, 72,000 people were newly infected with HIV, and 24,000
people died from an AIDS-related illness(3). Dar es Salaam has the highest burden of HIV/AIDS
with a prevalence of 11%(2). For both sexes, urban residents have a significantly higher risk of
HIV infection 11% than rural residents 5%. Prevalence among urban women is 12%, compared
with 6 %t for rural women while prevalence among urban men is 10 %, compared with 5%for
rural men(2).
Objectives: To assess the factors associated with retention in care among people living with
HIV/AIDS in Ubungo municipality, Tanzania. Specifically, the study is aiming to determine the
proportion of people retained in care among HIV positive clients attending Ubungo Municipality,
to determine factors contributing to poor retention in care among people living with HIV/AIDS in
Ubungo Municipality and to identify factors leading to the uptake of care among people living
with HIV/AIDS in Ubungo Municipality.
Methodology: A cross-sectional study utilizing a mixed methods approach and a convergence
model will be used to determine factors associated with retention in care among people living
with HIV/AIDS in Ubungo municipality, Tanzania. Data will be collected, using self-administered
questionnaires for quantitative data and In-depth Interviews with patients and Key informant
Interviews (KII) with health facilities staff will be used to collect qualitative data. We will draw a
systematic sampling for the quantitative approach and a purposive sample for the qualitative
aspect respectively. Descriptive statistics will be used to summarize findings in tables, graphs
and charts, Chi square test and logistic regression analysis will be used to determine the factors
associated with retention in HIV care using SPSS software. Recorded audios from in-depth
interviews and KIIs will be transcribed, translated, coded, analyzed thematically and presented
in verbatim.
Dissemination of Expected findings: Research results will be disseminated in writing and
presentations to all health care facilities in Ubungo Municipality. Recommendations will be made
to all decision-makers and policymakers at Ubungo municipality health facilities, Medical
Officers office, and local implementing partner Management and Development for Health (MDH)
on improvements that need to be made to improve retention in care among people living with
HIV/AIDS. Also, dissemination of results will be made to the University of Malawi College of
Medicine senate, to College of Medicine Research Ethics Committee (COMREC), and the
National Institute of Medical Research in Tanzania (NIMR). Copies will be made available at the COM library. At some point, the results from this study will be published in a peer-reviewed
open-access journal.