Conceptualising the factors affecting retention in care of patients on antiretroviral treatment in Kabwe District, Zambia, using the ecological framework

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dc.contributor.authorMukumbang, Ferdinand C.
dc.contributor.authorMwale, Joyce Chali
dc.contributor.authorvan Wyk, Brian
dc.date.accessioned2017-11-15T06:23:29Z
dc.date.available2017-11-15T06:23:29Z
dc.date.issued2017
dc.description.abstractBACKGROUND. HIV remains a major public health challenge in Zambia.The roll-out of antiretroviral treatment (ART) has engendered new challenges in retention in care. OBJECTIVE. To conceptualise the factors affecting retention in care of ART patients at three primary healthcare facilities using the ecological framework. METHOD. Qualitative data were collected through in-depth interviews with 45 ART patients and three focus group discussions with 20 healthcare providers from three primary healthcare facilities in Kabwe district, Zambia, and subjected to thematic content analysis. RESULTS. Individual level barriers to retention in care included side effects, gaining weight, belief in faith healing, and use of herbal remedies and alcohol. Interpersonal barriers such as stigma and nondisclosure of HIV status were reported. At the institutional level, inadequate space in the clinic, long waiting times, long travel distances, and shortage of third-line drugs presented barriers to retention in care. Food shortages and patient mobility were reported as community barriers to retention in care. CONCLUSION.The ecological framework conceptualises the complex and dynamic factors affecting retention inART care and highlights the need formultifaceted interventions that combine health education, disease management, and opportunities for income generation in a socially responsive and accountable environment.en_US
dc.description.accreditationScopus
dc.identifier.citationMukumbang, F.C. et al. (2017). Conceptualising the factors affecting retention in care of patients on antiretroviral treatment in Kabwe District, Zambia, using the ecological framework. AIDS Research and Treatment, 2017: 7356362en_US
dc.identifier.issn2090-1240
dc.identifier.urihttp://dx.doi.org/10.115/2017/7356362
dc.identifier.urihttp://hdl.handle.net/10566/3270
dc.language.isoenen_US
dc.privacy.showsubmitterFALSE
dc.publisherHindawi Publishing Corporationen_US
dc.rights© 2017 Ferdinand C. Mukumbang et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
dc.status.ispeerreviewedTRUE
dc.subjectHIVen_US
dc.subjectPublic health challengeen_US
dc.subjectZambiaen_US
dc.subjectCareen_US
dc.subjectRetentionen_US
dc.titleConceptualising the factors affecting retention in care of patients on antiretroviral treatment in Kabwe District, Zambia, using the ecological frameworken_US
dc.typeArticleen_US

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