Nakate Mary Gorreth, Omech Bernard, Kwagala Catherine, Gimbo Irene, Bulitya Augustine, Kyeswa Julius, Katwere Enoch, Kabunga Amir, Udho Samson
Department of Community Health, Faculty of Public Health, Lira University, Lira, Uganda.
Department of Midwifery, Faculty of Nursing & Midwifery, Lira University, Lira, Uganda.
HIV AIDS (Auckl). 2023 Apr 1;15:135-143. doi: 10.2147/HIV.S405492. eCollection 2023.
The "test-and-treat" policy may adversely affect adherence to clinic visits of clients newly diagnosed with HIV due to unpreparedness to commence treatment. However, few studies have examined the factors influencing the status of adherence to second clinic visit among clients newly diagnosed with HIV. We examined the factors influencing the status of adherence to second clinic visit among clients newly diagnosed with HIV in Apac District, northern Uganda.
This was a mixed-methods study conducted among 292 systematically sampled clients newly diagnosed with HIV for the survey and 15 purposively sampled clients for the in-depth interview from July to August 2020. Quantitative data were collected using a structured questionnaire, while qualitative data were collected using an interview guide. Quantitative data were analyzed descriptively while qualitative data were analyzed thematically.
The mean age of the study participants were 39.5±11 years and their age ranged from 18 to 72 years. Close to three-quarters of study participants adhered to their second clinic visit 74% (214/292). Factors that influenced participants' adherence to the second clinic visit were the adequate HIV pre/post-test counseling positive attitude of clients towards HIV-positive diagnosis, family support, and long waiting time.
More than two-thirds of clients newly diagnosed with HIV in Apac District, northern Uganda adhered to their second clinic visit. HIV/AIDS service providers should strengthen HIV pre/post-test counselling, social support systems for persons living with HIV/AIDS, and reduce clients' waiting time to improve adherence to second clinic visit among clients newly diagnosed with HIV.
“检测即治疗”政策可能会对新诊断出感染艾滋病毒的患者的门诊就诊依从性产生不利影响，因为他们没有准备好开始治疗。然而，很少有研究探讨影响新诊断出感染艾滋病毒的患者第二次门诊就诊依从性状况的因素。我们研究了乌干达北部阿帕克区新诊断出感染艾滋病毒的患者第二次门诊就诊依从性状况的影响因素。
这是一项混合方法研究，于2020年7月至8月对292名系统抽样的新诊断出感染艾滋病毒的患者进行调查，并对15名有目的抽样的患者进行深入访谈。定量数据通过结构化问卷收集，定性数据通过访谈指南收集。定量数据进行描述性分析，定性数据进行主题分析。
研究参与者的平均年龄为39.5±11岁，年龄范围为18至72岁。近四分之三的研究参与者坚持第二次门诊就诊，比例为74%（214/292）。影响参与者第二次门诊就诊依从性的因素包括充分的艾滋病毒检测前后咨询、患者对艾滋病毒阳性诊断的积极态度、家庭支持以及等待时间过长。
乌干达北部阿帕克区超过三分之二新诊断出感染艾滋病毒的患者坚持第二次门诊就诊。艾滋病毒/艾滋病服务提供者应加强艾滋病毒检测前后咨询、为艾滋病毒/艾滋病感染者提供社会支持系统，并减少患者等待时间，以提高新诊断出感染艾滋病毒的患者第二次门诊就诊的依从性。
