factors that contributed to poor retention in care of HIV infected children initiated
on Anti-Retroviral Treatment and
recommended appropriate improvement strategies.
Study design: A total of 134
individuals were selected using purposive sampling and participated in the Focused
Groups Discussions (FGDs), drawn from Caregivers support groups, HIV positive adolescents
and health care workers at the ART clinics.
qualitative method using FGD questionnaire guide and retrospective review of secondary
cohort clinical data records covering a period of 12 months was conducted using
standardized data abstraction forms.
Results: There were few studies that had been conducted
in Nigeria to explore enablers of retention in care of HIV positive children. However, similar studies from other settings exited.
Barriers to retention in care were the most commonly reported across the FGDs, though
enablers were also reported. There was also a significant correlation between participant’s
responses and data analyzed from the hospital records.
Conclusion: It was mostly barriers to retention in care
that were reported. Some barriers, however, were reported as enablers to
retention in care.
role is critical and additional integrated strategies are urgently required to achieve
optimum retention in care of children.
Keywords: Retention in care; HIV positive children, Barriers
to retention, Enablers to retention, Loss to follow up, Caregivers.
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