Towards 90-90-90 Target: Factors Influencing Availability, Access, and Utilization of HIV Services-A Qualitative Study in 19 Ugandan Districts

BioMed Research International
Francis BajunirweGeorge Abongomera

Abstract

UNAIDS has set a new target 90-90-90 by 2020. To achieve this target, current programs need to address challenges that limit access, availability, and utilization of HIV testing and treatment services. Therefore, the aim of this study was to identify the barriers that influence access, availability, and utilization of HIV services in rural Uganda within the setting of a large donor funded program. We conducted key informant interviews with stakeholders at the district level, staff of existing HIV/AIDS projects, and health facilities in 19 districts. Data were also collected from focus group discussions comprised of clients presenting for HIV care and treatment. Data were transcribed and analyzed using content analysis. Results. Barriers identified were as follows: (1) drug shortages including antiretroviral drugs at health facilities. Some patients were afraid to start ART because of worrying about shortages; (2) distance and (3) staffing shortages; (4) stigma persistence; (5) lack of social and economic support initiatives that enhance retention in treatment. In conclusion, our study has identified several factors that influence access, availability, and utilization of HIV services. Programs need to address drug and staff shor...Continue Reading

References

May 25, 2004·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Frederick L AlticeGerald H Friedland
Jun 24, 2009·Human Resources for Health·Uta LehmannDavid Sanders
Apr 2, 2010·Human Resources for Health·Mike CallaghanHelen Schneider
Nov 1, 2011·The Lancet Infectious Diseases·Omar SuedMassimo Ghidinelli
Mar 14, 2012·BMC Health Services Research·Yoswa M Dambisya, Sheillah Matinhure
Dec 18, 2013·South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde·Chris Bateman
Apr 24, 2014·BMC Health Services Research·Sebastian Olikira Baine, Arabat Kasangaki
Mar 5, 2015·Journal of the International AIDS Society·Sarah MacCarthyInes Dourado
Mar 7, 2015·Global Health, Science and Practice·Amee SchwittersKebba Jobarteh
Aug 8, 2015·African Journal of Primary Health Care & Family Medicine·Talitha Crowley, Pat Mayers
Sep 19, 2015·Sociology of Health & Illness·Steve RussellJanet Seeley
Jul 23, 2016·Journal of the International AIDS Society·Waimar TunGrimond Moono

❮ Previous
Next ❯

Citations

May 30, 2019·AIDS Care·Babayemi O OlakundeJennifer R Pharr
Sep 4, 2020·AIDS·Barbara A FriedlandUNKNOWN PLHIV Stigma Index 2.0 Study Group

❮ Previous
Next ❯

Methods Mentioned

BETA
circumcision
blood collection

Software Mentioned

SCIPHA

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.