Bottlenecks and opportunities towards achieving the targeted 95-95-95 HIV services in a rural district in Eastern Uganda [version 1; peer review: awaiting peer review]

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dc.contributor.author Namenkere, Monkya Samuel
dc.contributor.author Ayaa, Mary Stella
dc.contributor.author Sukuku, Linda
dc.contributor.author Kharono, Juliet
dc.contributor.author Mugabi, Charles
dc.contributor.author Chelangat, Benina
dc.contributor.author Olwedo, Mary Abwola
dc.contributor.author Nabasumba, Carol
dc.contributor.author Oboth, Paul
dc.contributor.author Osele, Julius
dc.contributor.author Nekaka, Rebecca
dc.contributor.author Iramiot, Jacob Stanley
dc.date.accessioned 2023-01-10T07:14:18Z
dc.date.available 2023-01-10T07:14:18Z
dc.date.issued 2022-12
dc.identifier.citation Samuel Namenkere M, Mary Stella A, Linda S et al. Bottlenecks and opportunities towards achieving the targeted 95-95-95 HIV services in a rural district in Eastern Uganda [version 1; peer review: awaiting peer review]. F1000Research 2022, 11:1553 (https://doi.org/10.12688/f1000research.122576.1) en_US
dc.identifier.uri https://doi.org/10.60682/jvd0-kj96
dc.description Research article en_US
dc.description.abstract Background: Uganda has made progress in reducing its HIV prevalence from 7.3% in 2011 to 6% in 2017, however, more needs to be done to meet the World Health Organization (WHO) target of 95% of the population knowing their HIV status, 95% enrolled on treatment and 95% achieving viral suppression. This study aimed to assess the bottlenecks and opportunities towards achieving the 95 95 95 targeted HIV services in the Bukedea district. Methods: A mixed-methods cross-sectional study was conducted in the Bukedea district covering males and females aged 18-65 years who had consented to participate in the study. We used a purposive sampling procedure to select our study participants. Qualitative data was collected through focus group discussions, key informant interviews, and document reviews for quantitative data. Quantitative data were analyzed using STATA v 14 whereas qualitative data were analyzed using the thematic analysis approach. Results: The challenges were grouped as patient-related, medication-related, and facility-related. The patient-related challenges were stigma, fear of taking the medication, poor nutrition, long distances, alcoholism, busy working schedules, and domestic violence. The medication-related challenges were side effects and pill burden. The facility-related challenges were inadequate pretest counseling and stock-outs. The use of anti-retroviral drugs (ART) was common in piggery and poultry and the sources of these drugs were reported to be the people on ART and the health workers. The opportunities included home-based counseling, organizing more outreaches, counseling and health education, targeted testing, and strengthening the Village Health Teams (VHT) networks. Conclusions: The study revealed that the major challenges towards achieving the targeted 95-95-95 HIV services were stigma, inadequate pre-test counseling, fear of disclosure, and poor adherence due to alcoholism, sharing of drugs with animals and partners. The use of anti-retroviral drugs in animal husbandry was common in the Bukedea District. Keywords Enrolment to care, HIV testing, Viral load suppression, HIV infection, HAART, expert clients, HIV care, Adherence to HIV treatment. en_US
dc.description.sponsorship Soroti University, Bukedea Health Centre IV, Busitema University. en_US
dc.language.iso en en_US
dc.publisher f1000research en_US
dc.subject Enrolment to care en_US
dc.subject HIV testing en_US
dc.subject Viral load suppression en_US
dc.subject HIV infection en_US
dc.subject HAART en_US
dc.subject Expert clients en_US
dc.subject HIV care en_US
dc.subject Adherence to HIV treatment en_US
dc.title Bottlenecks and opportunities towards achieving the targeted 95-95-95 HIV services in a rural district in Eastern Uganda [version 1; peer review: awaiting peer review] en_US
dc.type Article en_US


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