Assessment of factors associated with retention of HIV exposed infants in early infant diagnosis program in Lilongwe rural: A crosssectional study
| dc.contributor.author | Phensere, Julia | |
| dc.date.accessioned | 2021-12-22T11:30:45Z | |
| dc.date.available | 2021-12-22T11:30:45Z | |
| dc.date.issued | 2021-11-09 | |
| dc.description.abstract | The type of research study: This is a cross-sectional study to determine factors associated with retention of infants in the Early Infant Diagnosis program. The problem: The Malawi Country Operational Plan, strategic summary of March, 2020 indicated that rigorous analyses of patient level data and partner performance has identified the retention of clients as the single greatest threat to a sustainable HIV response in Malawi. Data obtained from some health facilities in Lilongwe District shows low retention rates. In the first quarter of 2021, the HIV department reported that Nkhoma Hospital had attrition rate of 17% at 12 months into the EID program and 35% at 24 months, Mitundu had 12% attrition at 12 months and 21% at 24 months, Nathenje had attrition of 15% at 12 months and 22% at 24 months. This study seeks to assess factors associated with retention in the EID Programme in clinics in Lilongwe rural, Malawi. Objectives: Broad objective To assess factors associated with retention of HIV exposed infants in the early infant diagnosis program (EID)in clinics in Lilongwe rural, Malawi. Specific objectives 1. To determine parents/guardians of HIV exposed infants perceived threats associated with retention of HIV exposed infants in EID 2. To Identify the perceived benefits associated with retention of HIV exposed infants in EID 3. To determine the social-cultural factors associated with retention of HIV exposed infants in EID Methodology This Cross-sectional study employing a Barrier Analysis approach will be conducted at Nkhoma Mission Hospital, Ntenthera Health Centre, Nathenje as well as Mitundu Rural Hospital. The study population will be parents/guardians of HIV exposed infants 0-24 months of age. The sample size will be 90, 45 doers and 45 non-doers. Doers are those that do the behavior, in this study doers will be the infants who are consistently retained in the program while non-doers are those that do not do the behavior, in this study non-doers will be those infants that are loss to follow. Data will be collected using a pre-designed barrier analysis questionnaire template, the template will be utilized to develop questions specific for this study. Data will be kept in lockable cabinets. It will be entered on barrier analysis predesigned data analysis software. Expected findings and their dissemination The study expects to find factors that are associated with retention of infant in the EID program. The factors that promote retention as well as those that derail it will be identified through this study. It is expected that the study will uncover sociocultural factors, perceived threats as well as perceived benefits of retaining infants in the EID program. The factors could be socio-economic, religious, cultural, individual/personal factors, community factors, health facility. Studies have shown motivating factors to continue in the Programme to be a wish to have a healthy baby while barriers to be denial of the actual HIV status, lack of disclosure of HIV status, fear of side effects of the drugs, lack of support, unsynchronized hospital appointments for mother and babies among other issues. The findings of the study will be shared with Nkhoma Mission Hospital, Lilongwe District Health Office as well as Kamuzu College of Health Science’s Library. A manuscript will be developed from the findings which will be submitted to a peer review journal for publication | en_US |
| dc.description.sponsorship | self sponsor | en_US |
| dc.identifier.uri | http://rscarchive.kuhes.ac.mw/handle/20.500.12988/819 | |
| dc.language.iso | en | en_US |
| dc.publisher | Kamuzu University of Health Sciences | en_US |
| dc.relation.ispartofseries | Protocol;P.09/21/3404 | |
| dc.title | Assessment of factors associated with retention of HIV exposed infants in early infant diagnosis program in Lilongwe rural: A crosssectional study | en_US |
| dc.type | Plan or blueprint | en_US |